腓骨肌复合瓣修复颌骨成釉细胞瘤术后缺损的临床效果  

Clinical effect of fibular muscle composite flap in repairing the postoperative defects of ameloblastoma of jaw

作　　者：刘康康[1] 冯娟[1] LIU Kangkang;FENG Juan(the First Hospital of Yulin,Yulin 719000,China)

机构地区：[1]榆林市第一医院,陕西榆林719000

出　　处：《临床医学研究与实践》2022年第5期74-77,共4页Clinical Research and Practice

摘　　要：目的探讨腓骨肌复合瓣修复颌骨成釉细胞瘤术后缺损的临床效果。方法选取2018年10月至2020年10月我院收治的80例成釉细胞瘤术后缺损患者作为本次研究对象,所有患者均采用腓骨肌复合瓣进行修复治疗,比较患者修复前、修复后3个月的咀嚼功能、颞下颌关节(TMJ)功能、修复满意度、美观度、牙槽嵴宽度、心理健康状态及生活质量。结果修复后3个月,患者的咬合力与咀嚼效率均明显高于修复前,差异具有统计学意义(P<0.05)。修复后3个月,D 0、Ⅰ级患者占比明显高于修复前,DⅡ、Ⅲ级患者占比明显低于修复前,差异具有统计学意义(P<0.05)。修复后3个月,患者的口腔美观度、咀嚼功能、舒适度、固定性满意度评分均明显高于修复前,差异具有统计学意义(P<0.05)。修复后3个月,患者的PES评分及牙槽嵴宽度均明显高于修复前,差异具有统计学意义(P<0.05)。修复后3个月,患者的SAS、SDS及SCL-90评分明显均低于修复前,差异具有统计学意义(P<0.05)。修复后3个月,患者的功能限制、生理疼痛、心理不适、生理障碍、心理障碍、社交障碍、残障评分均明显低于修复前,差异具有统计学意义(P<0.05)。结论腓骨肌复合瓣对颌骨成釉细胞瘤术后缺损的修复效果显著,其可改善患者的咬合力、咀嚼效率及颞下颌功能,提高修复满意度、美观度及牙槽嵴宽度,改善心理状态及生活质量水平,值得临床推广与应用。Objective To explore the clinical effect of fibular muscle composite flap in repairing the postoperative defects of ameloblastoma of jaw.Methods A total of 80 patients with postoperative defects of ameloblastoma of jaw admitted to our hospital from October 2018 to October 2020 were selected as the research objects.All patients were treated with fibular muscle composite flaprepair.The masticatory function,temporomandibular joint(TMJ)function,repair satisfaction,aesthetics,alveolar ridge width,mental health state and quality of life were compared before repair and at 3 months after repair.Results Three months after repair,the bite force and masticatory efficiency of patients were significantly higher than those before repair,and the differences were statistically significant(P<0.05).Three months after repair,the proportion of patients with grade D 0,Ⅰwere significantly higher than those before repair,while the proportions of patients with grade DⅡ,Ⅲwere significantly lower than those before repair,and the differences were statistically significant(P<0.05).Three months after repair,the scores of oral aesthetics,masticatory function,comfort and fixation satisfaction of patients were significantly higher than those before repair,and the differences were statistically significant(P<0.05).Three months after restoration,the PES score and alveolar ridge width of patients were significantly higher than those before repair,and the differences were statistically significant(P<0.05).Three months after repair,the scores of SAS,SDS and SCL-90 of patients were significantly lower than those before repair,and the differences were statistically significant(P<0.05).Three months after repair,the scores of functional limitation,physiological pain,psychological discomfort,physiological disorder,psychological disorder,social disorder and disability of patients were significantly lower than those before repair,and the differences were statistically significant(P<0.05).Conclusion The fibular muscle composite flap in repairing the p

关 键 词：腓骨肌复合瓣 颌骨成釉细胞瘤术后缺损 咬合力 咀嚼效率 颞下颌功能 

分 类 号：R739.8[医药卫生—肿瘤] R782.2[医药卫生—临床医学]