颏下动脉穿支皮瓣修复高龄口腔癌患者术后缺损的临床研究  

Clinical study of submental artery perforator flap for repairing postoperative defect in elderly patients with oral cancer

作　　者：陈默 卓凤 王续纪 郭蕴 李建成[1] CHEN Mo;ZHUO Feng;WANG Xu-ji;GUO Yun;LI Jian-cheng(Department of Stomatology,the First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui Province 233004,China)

机构地区：[1]蚌埠医学院第一附属医院口腔颌面外科,233004

出　　处：《中华老年口腔医学杂志》2024年第3期144-147,共4页Chinese Journal of Geriatric Dentistry

基　　金：安徽省高校合作攻关和公共卫生协同创新项目(GXXT-2020-021)。

摘　　要：目的探讨颏下动脉穿支皮瓣(Submental artery perforator flap,SMAPF)修复高龄口腔癌患者术后缺损的临床效果。方法回顾分析2019年1月至2022年1月14例应用SMAPF行口腔癌术后缺损修复的患者(年龄≥80岁);该14例患者围手术期进行多学科会诊(multidisciplinary team,MDT)讨论,并对14例应用SMAPF修复口腔癌患者情况进行总结。结果14例高龄患者应用SMAPF修复皮瓣成活率92.9%;皮瓣制备(包括颈部淋巴结清扫)时间1小时30分钟~2小时55分钟,平均2小时16分钟;围手术期发生并发症65.4%,无1例患者死亡;术后随访1例患者肺部转移,2例患者死于其它疾病。结论应用颏下动脉穿支皮瓣修复高龄口腔癌患者取得了较好的临床效果。Objective To investigate the clinical effect of Submental artery perforator flap(SMAPF)in repairing postoperative defects in elderly patients with oral cancer.Methods From January 2019 to January 2022,14 patients(aged≥80 years)with oral cancer undergoing defect repair with SMAPF were retrospectively analyzed.The 14 patients were discussed ina multidisciplinary team(MDT)during perioperative period.The results of 14 patients with oral cancer treated with SMAPF were summarized.Results The survival rate of 14 elderly patients with SMAPF was 92.9%.The preparation time of skin flap(including neck lymph node dissection)was 1 hour 30 minutes to 2 hours 55 minutes,with an average of 2 hours 16 minutes.Perioperative complications occurred in 65.4%,and no death occurred.One patient was followed up with lung metastasis and two died of other diseases.Conclusion The application of perforator flap of submental artery to repair elderly patients with oral cancer has achieved good clinical results.

关 键 词：口腔癌 高龄 多学科 颏下动脉 修复外科 

分 类 号：R782.05[医药卫生—口腔医学]