不同组织瓣修复术治疗口腔颌面部肿瘤的效果及术后生存质量比较  

Comparison on the effect and postoperative quality of life of different tissue flap repairs in the treatment of oral and maxillofacial tumors

作　　者：胡明 周小龙[1] 和王刚 王龙娇 HU Ming;ZHOU Xiao-long;HE Wang-gang;WANG Long-jiao(Department of Stomatology,Ankang Hospital of Traditional Chinese Medicine,Ankang 725000,Shaanxi,CHINA)

机构地区：[1]安康市中医医院口腔科,陕西安康725000

出　　处：《海南医学》2022年第15期1957-1961,共5页Hainan Medical Journal

基　　金：陕西省重点研发计划项目(编号:S2020-YF-YBSF-0777)。

摘　　要：目的比较不同组织瓣修复术治疗口腔颌面部肿瘤的效果及术后生存质量。方法回顾性分析2016年1月至2021年5月在安康市中医医院治疗的95例口腔颌面部肿瘤患者的临床资料,按照患者软组织修复的皮瓣不同分组,其中60例行串联游离皮瓣修复术者纳入对照组,35例行股外侧嵌合皮瓣修复术者纳入研究组。比较两组患者术后指标、修复效果、术后并发症,术后2个月采用Likert Scale量表和UW-QOL生存质量问卷调查量表分别评估患者治疗满意度和生存质量。结果两组患者均观察到了血管危象、组织瓣坏死等并发症,研究组患者的并发症总发生率和皮瓣成活率分别为9.09%、97.14%,分别与对照组的7.69%、96.67%比较差异均无统计学意义(P>0.05);研究组患者的咀嚼功能、吞咽功能、口腔闭合功能及语言功能分别为(8.57±1.46)分、(8.95±1.64)分、(8.61±2.03)分、(8.34±2.11)分,明显高于对照组的(7.53±1.39)分、(7.42±1.96)分、(7.68±1.42)分、(7.26±1.52)分,差异均有统计学意义(P<0.05);在供区方面,两组患者均未见瘢痕增生,对照组患者的切口愈合时间(13.35±2.42)d,明显长于研究组的(12.05±1.86)d,差异有统计学意义(P<0.05);研究组患者的治疗满意度为94.29%,明显高于对照组的78.33%,差异有统计学意义(P<0.05);治疗后,研究组患者的各项生存质量评分明显高于对照组,差异均有统计学意义(P<0.05)。结论较串联游离皮瓣修复术而言,股外侧嵌合皮瓣修复术能更好地改善患者的咀嚼功能、吞咽功能、口腔闭合功能及语言功能,提高患者满意度及术后生活质量。Objective To compare the effect and postoperative quality of life of different tissue flap repairs in the treatment of oral and maxillofacial tumors.Methods The clinical data of 95 patients with oral and maxillofacial tumor treated in Ankang Hospital of Traditional Chinese Medicine from January 2016 to May 2021 were retrospectively analyzed.According to the different types of soft tissue repair flaps,60 patients who underwent anterior tandem free flap repair were included in the control group,and 35 patients who underwent lateral femoral chimeric flap repair were included in the study group.Postoperative indicators,repair effects,and postoperative complications were compared between the two groups.Treatment satisfaction and quality of life were evaluated by Likert Scale and UW-QOL quality of Life questionnaire at two months after surgery.Results Complications such as vascular crisis and tissue flap necrosis were observed in both groups.The total incidence of complications and flap survival rate in the study group were 9.09%and 97.14%,respectively,which showed no statistically significant differences compared with 7.69%and 96.67%in the control group(P>0.05).The masticatory function,swallowing function,oral closure function,and language function in the study group were(8.57±1.46)points,(8.95±1.64)points,(8.61±2.03)points,(8.34±2.11)points,respectively,which were significantly higher than(7.53±1.39)points,(7.42±1.96)points,(7.68±1.42)points,and(7.26±1.52)points in the control group(P<0.05).In the donor site,there was no scar hyperplasia in both groups.The incision healing time in the control group was(13.35±2.42)d,which was significantly longer than(12.05±1.86)d in the study group(P<0.05).The treatment satisfaction of patients in the study group was 94.29%,which was significantly higher than 78.33%in the control group(P<0.05).After treatment,the each quality of life scores of patients in the study group were significantly higher than those in the control group,with statistically significant differences(P<0

关 键 词：口腔颌面肿瘤 组织瓣修复术 前串联游离皮瓣修复术 股外侧嵌合皮瓣修复术 预后 生存质量 

分 类 号：R739.8[医药卫生—肿瘤]