[1]李正红,张 姬.不同游离组织皮瓣移植修复口腔颌面部恶性肿瘤切除术后组织缺损的效果[J].医学信息,2019,(19):99-101.[doi:10.3969/j.issn.1006-1959.2019.19.030]
 LI Zheng-hong,ZHANG Ji.Transplantation of Different Free Tissue Flaps for Repairing Tissue Defects after Resection of Oral and Maxillofacial Malignant Tumors[J].Medical Information,2019,(19):99-101.[doi:10.3969/j.issn.1006-1959.2019.19.030]
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不同游离组织皮瓣移植修复口腔颌面部恶性肿瘤切除术后组织缺损的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2019年19期
页码:
99-101
栏目:
临床研究
出版日期:
2019-10-01

文章信息/Info

Title:
Transplantation of Different Free Tissue Flaps for Repairing Tissue Defects after Resection of Oral and Maxillofacial Malignant Tumors
文章编号:
1006-1959(2019)19-0099-03
作者:
李正红张 姬
(黑龙江省佳木斯市中心医院口腔颌面外科,黑龙江 佳木斯 154002)
Author(s):
LI Zheng-hongZHANG Ji
(Department of Oral and Maxillofacial Surgery,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China)
关键词:
口腔颌面恶性肿瘤组织缺损皮瓣移植并发症吞咽功能生活质量
Keywords:
Oral and maxillofacial malignancyTissue defectFlap transplantationComplications Swallowing functionQuality of life
分类号:
R739.81
DOI:
10.3969/j.issn.1006-1959.2019.19.030
文献标志码:
A
摘要:
目的 观察不同游离组织皮瓣移植修复口腔颌面部恶性肿瘤切除术后组织缺损的效果。方法 选取2017年12月~2018年12月我院收治的口腔颌面部恶性肿瘤切除术后组织缺损患者106例,按照随机数字表法分为观察组和对照组,各53例。对照组采用前臂游离皮瓣移植修复,观察组采用股前外侧游离皮瓣移植修复,比较两组修复效果、并发症发生率、吞咽功能及生活质量评分。结果 两组修复成功率比较,差异无统计意义(P>0.05);观察组修复后并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组修复后3个月内吞咽功能4级占比为43.40%,高于对照组的24.53%,差异有统计学意义(P<0.05);观察组修复后生活质量评分为(80.23±5.67)分,高于对照组的(72.34±7.02)分,差异有统计学意义(P<0.05)。结论 前臂皮瓣、股前外侧皮瓣均能有效修复口腔颌面部恶性肿瘤切除术后组织缺损,但股前外侧游离皮瓣移植修复后的并发症发生率更低,改善吞咽功能效果更显著,且生活质量更佳。
Abstract:
Objective To observe the effect of different free tissue flaps on the repair of tissue defects after oral and maxillofacial malignant tumor resection. Methods A total of 106 patients with tissue defects after oral and maxillofacial malignant tumor resection in our hospital from December 2017 to December 2018 were enrolled. According to the random number table method, the observation group and the control group were divided into 53 cases. The control group was treated with free forearm free flap transplantation. The observation group was treated with anterior lateral femoral free flap transplantation. The repair effect, complication rate, swallowing function and quality of life score were compared between the two groups.Results There was no statistically significant difference in the success rate between the two groups (P>0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant (P<0.05). The level of swallowing function in the observation group was 43.40% within 3 months after repair, which was higher than that of the control group 24.53%,the difference was statistically significant (P<0.05). The quality of life score of the observation group was (80.23±5.67), which was higher than that of the control group (72.34±7.02),the difference was statistically significant (P<0.05). Conclusion The forearm flap and anterolateral thigh flap can effectively repair the tissue defect after oral and maxillofacial malignant tumor resection, but the complication rate of anterior femoral free flap transplantation is lower, and the effect of improving swallowing function is more significant and the quality of life is better.

参考文献/References:

[1]杨晓林.口腔颌面部恶性肿瘤297例临床病理分析[J].中国现代医药杂志,2016,18(2):64-66. [2]张扬,万延俊,王超.口腔颌面部恶性肿瘤切除及面动脉逆行皮瓣修复术围手术临床经验探讨[J].中国现代药物应用,2016, 10(23):74-75. [3]邵侠,叶鹏程,方一鸣,等.游离前臂皮瓣移植修复治疗口腔颌面部肿瘤切除后缺损47例分析[J].中华全科医学,2017,15(2):206-209. [4]戴丽.口腔颌面部恶性肿瘤患者术后生活质量状况调查分析[J].河北医药,2015,37(6):920-923. [5]郭建,蒋子超,冯晓东.胸大肌肌皮瓣在口腔颌面部恶性肿瘤术后缺损修复中的应用[J].口腔颌面外科杂志,2017,27(4):282-284. [6]贾睿.不同部位皮瓣移植对口腔颌面部肿瘤根治术后皮瓣缺损部分修复重建效果的影响[J].中国现代药物应用,2017,11(19):43-44. [7]Li Y,Li CJ,Bi XQ.Internet-based mode for the follow-up of oral and maxillofacial malignancies[J].International Journal of Oral&Maxillofacial Surgery,2017,46(Suppl 1):127. [8]王超.两种游离皮瓣在口腔颌面部恶性肿瘤切除术后组织缺损修复中的应用比较[J].实用医药杂志,2017,34(7):632-633. [9]孙晶晶.游离皮瓣移植应用于口腔颌面部恶性肿瘤切除术后组织缺损的修复效果[J].中国社区医师,2018,34(5):34-36. [10]王祎,叶茂昌,王来平,等.舌癌根治性切除行前臂游离皮瓣修复重建的功能评价[J].口腔颌面外科杂志,2016,26(2):105-109. [11]郭海山,王钢,辛宝琴,等.两种游离皮瓣在半舌缺损修复中的对照研究[J].医学综述,2015,21(15):2865-2867. [12]克热木·阿巴司,赵莉,刘慧,等.游离组织皮瓣移植修复口腔颌面部恶性肿瘤切除术后组织缺损疗效及并发症观察[J].中国美容医学,2016,25(12):39-42. [13]陈丹,杨凯,陈睿,等.两种游离皮瓣在口腔颌面部恶性肿瘤术后缺损修复中的应用[J].重庆医学,2014,(12):1445-1447, 1451.

更新日期/Last Update: 2019-10-01