摘要
目的探讨因口腔额面部软组织缺损行游离股前外侧肌皮瓣术后供区并发症及功能恢复情况。方法选取2017年1月~2018年1月来我院复查的因口腔额面部软组织缺损而行游离股前外侧肌皮瓣术的80例患者为研究对象,根据评估表和调查问卷对患者供区并发症及功能恢复情况进行评价。结果远期并发症中12例患侧出现股四头肌肌力减弱,69例患者出现供区皮肤感觉障碍,主要在股前外侧区,其中股前外侧上区有13例感觉减退;股前外侧中区有52例感觉减退,1例感觉消失;股前外侧下区有53例感觉减退,7例感觉消失,且感觉正常与障碍的患者皮瓣面积有显著差异(P<0.05)。7例患者觉得瘢痕无法接受。结论游离股前外侧肌皮瓣术对患者的肌力、步态等影响较小,且大部分患者对瘢痕能接受,值得推广应用。
Objective To investigate the complications in donor site and the status of functional recovery in patients who underwent the anterolateral thigh myocutaneous flaps because of the defect of oral frontal and facial soft issues. Methods 80 patients who underwent the anterolateral thigh myocutaneous flaps because of the defect of oral frontal and facial soft issues reviewed in our hospital from January 2017 to January 2018 were selected. The complications in donor site and the status of functional recovery were evaluated by assessment sheet and questionnaire. Results In long-term complications, weakening of muscle strength of musculi quadriceps femoris in affected side occurred in 12 patients and sensory disturbance of skin in donor site in 69 patients. Sensory disturbance of skin mainly occurred in anterolateral thigh region. 13 patients had hypoesthesia in the upper anterolateral thigh region. 52 patients had hypoesthesia and one patient had sensory deprivation in the middle part of anterolateral thigh region. 53 patients had hypoesthesia and 7 had sensory deprivation in the lower part of anterolateral thigh region. There was significantly difference of flap area be- tween patients with normal sensor and sensory disturbance（P〈0.05）. 7 patients felt the scar unacceptable. Conclusion The influence of anterolateral thigh myocutaneous flap on the muscle strength and gait was small and most of patients felt the scar acceptable. It is worth promotion and application.
作者
林程山
LIN Chengshan(Department of Orthopedics,Tongde Hospital of Zhejiang Province,Hangzhou 310000,China)
出处
《中国现代医生》
2018年第19期65-67,70,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划(2016KYA057)
关键词
游离股前外侧肌皮瓣术
供区
并发症
功能恢复
Anterolateral thigh myocutaneous flap
Donor site
Complication
Functional recovery
