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作 者:李啟红 Li Qihong(Shenyang school of traditional Chinese medicine,Shenyang,Liaoning,110300,China)
出 处:《中国医学文摘(耳鼻咽喉科学)》2022年第3期68-69,22,共3页Chinese Medical Digest(Otorhinolaryngology)
摘 要:目的 探讨口腔癌术后组织缺损分别给予前臂皮瓣、颏下岛状皮瓣修复的并发症及咀嚼功能情况。方法 选取60例2018年1月~2021年1月在我院接受治疗的口腔癌术后组织缺损患者作为研究对象,随机将其分成对照组与观察组,各30例。予以对照组前臂皮瓣修复,予以观察组颏下岛状皮瓣修复,对比两组治疗前后咀嚼功能评分及并发症发生情况。结果 观察组治疗后的咀嚼功能评分较对照组高(P<0.05);观察组的并发症总发生率为6.66%,较对照组的26.66%低(P<0.05)。结论 予以口腔癌术后组织缺损患者颏下岛状皮瓣修复,可以提高其咀嚼功能,降低静脉血栓、感染等风险。Objective To investigate the complications and masticatory function of forearm flap and submental island flap in the repair of postoperative tissue defects of oral cancer.Methods 60 patients with postoperative tissue defects of oral cancer treated in our hospital from January 2018 to January 2021 were randomly divided into control group and observation group,with 30 cases in each group.The control group was repaired with forearm flap and the observation group with submental island flap.The masticatory function score and complications were compared between the two groups before and after treatment.Results The masticatory function score of the observation group was higher than that of the control group (P < 0.05);The total incidence of complications in the observation group was 6.66%,which was lower than 26.66% in the control group (P < 0.05).Conclusion Submental island flap can improve masticatory function and reduce the risk of venous thrombosis and infection.
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