不同皮瓣修复口腔癌术后软组织缺损的效果比较  

Comparison on the repair effects of different skin flaps for soft tissue defects after oral cancer surgery

作　　者：丁红忠 Ding Hongzhong(Department of Stomatology,Chaohu Hospital Affiliated to Anhui Medical University,Chaohu 238000,China)

机构地区：[1]安徽医科大学附属巢湖医院口腔科,238000

出　　处：《中国实用医刊》2021年第12期18-20,共3页Chinese Journal of Practical Medicine

摘　　要：目的:比较不同皮瓣修复口腔癌术后软组织缺损的效果。方法:抽取2015年10月至2020年2月安徽医科大学附属巢湖医院收治的口腔癌术后软组织缺损患者80例,依据软组织修复方案分为两组,每组40例。A组采用带蒂锁骨上动脉皮瓣,B组采用胸大肌肌皮瓣。回顾性比较两组围术期指标、语言功能、吞咽功能、创面恢复效果、皮瓣存活率及术后并发症。结果:两组围术期指标皮瓣面积、皮瓣制备时间、修复时间比较,t=0.161、0.221、0.328,P>0.05。术后6个月,两组语言功能功能、吞咽功能评分高于术前(P<0.05),且A组相应值高于B组(t=2.476、2.304,P=0.015、0.024)。术后6个月,A组创面修复效果评分高于B组(t=2.648,P=0.010)。术后72 h,两组皮瓣存活率比较,χ^(2)=0.180,P=0.671。术后1个月,A组术后总并发症发生率低于B组(χ^(2)=4.501,P=0.034)。结论:带蒂锁骨上动脉皮瓣与胸大肌肌皮瓣均可用于修复口腔癌术后软组织缺损,带蒂锁骨上动脉皮瓣修复后美观度较好,且术后并发症较少。Objective To compare the repair effects of different skin flaps for soft tissue defects after oral cancer surgery.Methods A total of 80 patients with soft tissue defects after oral cancer surgery who were admitted to Chaohu Hospital Affiliated to Anhui Medical University from October 2015 to February 2020 were divided into two groups according to the soft tissue repair plan,with 40 cases in each group.A pedicled supraclavicular artery flap was used in group A,and pectoralis major myocutaneous flap was used in group B.The perioperative indexes,language function,swallowing function,wound recovery effect,flap survival rate and postoperative complications were retrospectively compared between the two groups.Results The perioperative indexes such as flap area,flap preparation time and repair time between the two groups were compared,t=0.161,0.221,0.328,P>0.05.Six months after surgery,the scores of language function and swallowing function in the two groups were higher than those before the operation(P<0.05),and the corresponding values in group A were higher than those in group B(t=2.476,2.304,P=0.015,0.024).Six months after surgery,the wound repair effect score in group A was higher than that in group B(t=2.648,P=0.010).At 72 hours after surgery,the flap survival rate between the two groups was compared,χ^(2)=0.180,P=0.671.One month after the surgery,the total postoperative complication rate in group A was lower than that in the group B(χ^(2)=4.501,P=0.034).Conclusions Both pedicled supraclavicular artery flaps and pectoralis major myocutaneous flaps can be applied to repair soft tissue defects after oral cancer surgery.However,aesthetic effects of the former are better and postoperative complications are fewer.

关 键 词：口腔 锁骨上动脉皮瓣 胸大肌肌皮瓣 术后软组织缺损 

分 类 号：R739.8[医药卫生—肿瘤]