| 蔡开智,杨 森,郭丽娟,周子琪,任 俊.口腔颌面部肿瘤患者术后缺损的外侧皮瓣修复术与前臂皮瓣修复术对比研究[J].,2021,(7):1342-1345 |
| 口腔颌面部肿瘤患者术后缺损的外侧皮瓣修复术与前臂皮瓣修复术对比研究 |
| A Comparative Study of Lateral Flap and Forearm Flap for Oral and Maxillofacial Tumor Patients |
| 投稿时间：2020-09-27 修订日期：2020-10-23 |
| DOI：10.13241/j.cnki.pmb.2021.07.031 |
| 中文关键词: 口腔颌面部肿瘤 术后缺损 外侧皮瓣修复术 前臂皮瓣修复术 |
| 英文关键词: Oral and maxillofacial tumor Postoperative defect Lateral flap repair Forearm flap repair |
| 基金项目:四川省科技重点研发项目（2018FZ0113）；中华口腔医学会西部行口腔医学临床科研基金项目（CSA-W-2016-01）；青年科学基金项目（81600819）；四川省科技支撑计划项目（2014SZ0038）；四川省医学科研青年创新课题（Q14054） |
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| 中文摘要: |
| 摘要 目的：探讨口腔颌面部肿瘤患者术后缺损的外侧皮瓣修复术与前臂皮瓣修复术对比。方法：选取遂宁市中心医院（我院）2015年8月到2020年8月共收治的120例口腔颌面部肿瘤患者，所有患者通过肿瘤切除术后均出现组织缺损现象，对所有组织缺损的患者依照不同的皮瓣修复方式分为两组，其中应用外侧皮瓣修复术的68例患者分为外侧皮瓣修复组，应用前臂皮瓣修复术的52例患者分为前臂皮瓣修复组，对比两组的皮瓣修复效果，治疗后的口腔功能恢复情况，瓣成活率、术后皮瓣危象率以及血管吻合时间，并发症情况。结果：外侧皮瓣修复组的总有效率为95.59 %，前臂皮瓣修复组的总有效率为84.62 %，外侧皮瓣修复组明显高于前臂皮瓣修复组（P＜0.05）；外侧皮瓣修复组患者的外形修复、语言功能、咀嚼功能、吞咽功能以及口腔闭合评分明显高于前臂皮瓣修复组（P＜0.05）；两组的皮瓣成功率均比较高对比无明显差异（P＞0.05），两组的术后皮瓣危象率比较低，对比无明显差异（P＞0.05），血管吻合时间对比无明显差异（P＞0.05）；对比两组并发症发生情况发现，外侧皮瓣修复组的总并发症发生率为2.94 %，前臂皮瓣修复组并发症发生率为17.31 %，外侧皮瓣修复组明显低于前臂皮瓣修复组（P＜0.05）。结论：对口腔颌面部肿瘤患者术后缺损患者应用外侧皮瓣修复术能够提升患者的皮瓣修复效果，提升患者的口腔功能恢复情况，减少并发症的发生，安全性好，值得临床应用推广。 |
| 英文摘要: |
| ABSTRACT Objective: To compare the lateral flap repair and forearm flap repair for oral and maxillofacial tumor patients. Methods: A total of 120 patients with oral and maxillofacial tumors treated in Suining Central Hospital from August 2015 to August 2020 were chosen as research subjects. All the patients had tissue defect after tumor resection and were divided into two groups according to different flap repair methods. In which, 68 patients underwent lateral flap repair(LFR)(as LFR group) and 52 patients underwent forearm flap repair(FFR)(as FFR group). The flap repair effect, the oral function recovery and the flap survival rate after treatment, the flap crisis rate and vascular anastomosis time after operation, and the complications were compared between the two groups. Results: The total effective rate (95.59 %) of the lateral flap repair group was significantly higher than that (84.62 %) of the forearm flap repair group (P<0.05). The scores of appearance repair, language function, chewing function, swallowing function and oral closure of the patients in the lateral skin flap repair group were significantly higher than those in the forearm flap repair group (P<0.05). There were no significant differences in the flap survival rate, postoperative flap crisis rate and vascular anastomosis time between the two groups. The total complication rate (2.94 %) of the lateral flap repair group was significantly lower than that (17.31 %) of the forearm flap repair group (P<0.05). Conclusion: The application of lateral flap repair in the patients with oral and maxillofacial tumor postoperative defects can improve the effect of flap repair and the recovery of oral function, reduce the incidence of complications, with good safety, which is worthy of clinical application and promotion. |
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