颏下岛状皮瓣和游离前臂皮瓣对口腔癌术后软组织缺损的修复效果比较  

Comparison on the Repair Effect of Submental Island Flap and Free Forearm Flap on the Soft Tissue Defects after Oral Cancer Surgery

作　　者：卢泰青 张炜[1] 施鹏伟 LU Taiqing;ZHANG Wei;SHI Pengwei(Department of Oral Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院口腔外科,河南郑州450052

出　　处：《临床医学工程》2024年第1期33-34,共2页Clinical Medicine & Engineering

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20190189)。

摘　　要：目的对比颏下岛状皮瓣和游离前臂皮瓣对口腔癌术后软组织缺损的修复效果。方法选取80例口腔癌术后软组织缺损患者,根据修复方法不同分为对照组(游离前臂皮瓣)和观察组(颏下岛状皮瓣)各40例。比较两组患者的围术期指标、咀嚼效率及并发症发生情况。结果两组的皮瓣成活率比较无统计学差异(P>0.05);观察组手术时间、术后住院时间短于对照组,术中出血量少于对照组(P<0.05)。修复后6个月,两组的咀嚼效率均升高,但两组的咀嚼效率比较无统计学差异(P>0.05);观察组并发症发生率为10.00%,低于对照组的32.50%(P<0.05)。结论颏下岛状皮瓣和游离前臂皮瓣修复均可有效改善口腔癌术后软组织缺损患者的咀嚼效率;但与游离前臂皮瓣修复相比,颏下岛状皮瓣修复术中出血量相对较少,患者术后恢复更快,且并发症发生率更低。Objective To compare the repair effects of submental island flap and free forearm flap on the soft tissue defects after oral cancer surgery.Methods 80 patients with soft tissue defects after oral cancer surgery were divided into control group(40 cases,free forearm flap)and observation group(40 cases,submental island flap)according to different repair methods.The perioperative indicators,chewing efficiency and complications were compared between the two groups.Results No statistical difference was found in the survival rate of flaps between the two groups(P>0.05);The surgical time and postoperative hospitalization time of the observation group were shorter than those of the control group,and the intraoperative bleeding was less than that of the control group(P<0.05).6 months after repair,the masticatory efficiency of both groups increased,and no statistical difference was found in the masticatory efficiency between the two groups(P>0.05).The incidence of complications in the observation group was 10.00%,lower than 32.50%in the control group(P<0.05).Conclusions For patients with soft tissue defects after oral cancer surgery,both submental island flap and free forearm flap can effectively improve the chewing efficiency.However,compared with free forearm flap repair,submental island flap repair has relatively less intraoperative blood loss,faster postoperative recovery and lower incidence of complications.

关 键 词：口腔癌 软组织缺损 游离前臂皮瓣修复 颏下岛状皮瓣修复 

分 类 号：R739.8[医药卫生—肿瘤]