颏下岛状瓣与前臂游离皮瓣修复颌面部外伤软组织缺损对比分析研究  

Application of Submental Island Flap Repair in Maxillofacial Traumatic Soft Tissue Defects

作　　者：时荣新[1] 张艳萍[2] 刘恒林 杨锋[1] SHI Rong-xin;ZHANG Yan-ping;LIU Heng-lin;YANG Feng(Department of Stomatology,Tengzhou Central People's Hospital(Tengzhou Hospital Affiliated to Xuzhou Medical University),Tengzhou 277500,Shandong,China;Operating Room,Tengzhou Central People's Hospital(Tengzhou Hospital Affiliated to Xuzhou Medical University),Tengzhou 277500,Shandong,China)

机构地区：[1]滕州市中心人民医院(徐州医科大学附属滕州医院)口腔科,山东滕州277500 [2]滕州市中心人民医院(徐州医科大学附属滕州医院)手术室,山东滕州277500

出　　处：《中国美容医学》2021年第6期154-157,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:研究颏下岛状皮瓣(Submental island flap,SIF)与前臂游离皮瓣(Radialis forearm free flaps,RFFF)修复颌面部外伤软组织缺损并进行对比分析。方法:回顾性分析2014年3月-2019年6月笔者医院收治的84例颌面外伤性软组织缺损患者资料,根据手术方式不同分为RFFF组和SIF组,比较两组修复成功率、切口一期愈合率、手术操作时间、住院时间、术后生活质量和修复满意度,记录两组患者并发症发生情况。结果:SIF组的修复成功率、切口一期愈合率均高于RFFF组(P<0.05);SIF组的手术操作时间、住院时间均少于RFFF组(P<0.05);SIF组的吞咽、咀嚼、语言表达、味觉、进食、情绪和娱乐等评分均优于RFFF组(P<0.05);SIF组的修复满意度为93.18%,高于RFFF组的77.50%(P<0.05);SIF组术后并发症总发生率为4.54%,低于RFFF组的20.00%(P<0.05)。结论:SIF修复法在颌面部外伤性软组织缺损中的应用效果良好,修复成功率、切口一期愈合率高,手术操作时间、住院时间短,术后生活质量较好,患者满意度高,安全性好,对颌面外伤性软组织缺损的临床治疗有重要意义。Objective To study the comparative analysis of submental island flap(SIF)repair and radial forearm free flap(RFFF)repair in maxillofacial traumatic soft tissue defects.Methods A retrospective analysis was performed on the 84 patients with maxillofacial traumatic soft tissue defects who were admitted from March 2014 to June 2019.According to different surgical methods,they were divided into RFFF group and SIF group.The success rate of repair,healing rate of stage-I incision,operation time,hospitalization time,postoperative quality of life and repair satisfaction were compared between the two groups.The occurrence of complications in both groups was recorded.Results The success rate of repair and healing rate of stage-I incision in SIF group were higher than those in RFFF group(P<0.05),operation time and hospitalization time were shorter than those in RFFF group(P<0.05),and scores of swallowing,chewing,language expression,taste,eating,mood and entertainment were all higher than those in RFFF group(P<0.05).The repair satisfaction in SIF group was higher than that in RFFF group(93.18%vs 77.50%)(P<0.05),while total incidence of postoperative complications was lower than that in RFFF group(4.54%vs 20.00%)(P<0.05).Conclusion The application effect of SIF repair is good in maxillofacial traumatic soft tissue defects,with high success rate of repair and healing rate of stage-I incision,short operation time and hospitalization time,good postoperative quality of life,high patient satisfaction and safety.it is of great significance in the clinical treatment of maxillofacial traumatic soft tissue defects.

关 键 词：颏下岛状皮瓣 颌面软组织缺损 游离皮瓣 临床效果 

分 类 号：R782.2[医药卫生—口腔医学]