摘要
目的:分析口腔颌面部肿瘤术后缺损患者行不同皮瓣修复术治疗的效果。方法:选择口腔颌面部肿瘤术后缺损患者58例,随机分为对照组和观察组,各29例。两组均施以皮瓣修复手术治疗,对照组胸大肌位置选择皮瓣,观察组为股前外侧皮瓣,比较不同部位皮瓣的效果差异。结果:观察组并发症总发生率低于对照组;手术时间、拔除胃管时间、经口进食时间、皮瓣愈合时间短于对照组;皮瓣制作+显微吻合时间长于对照组;外形修复、正常进食、口腔开合功能、口腔容纳水测试、正常吞咽、咀嚼功能、语言表达能力、正常咬合功能分数,皮瓣成活率和修复满意度高于对照组(P<0.05)。结论:口腔颌面部肿瘤术后皮瓣修复患者行不同皮瓣修复术的效果存在差异,股前外侧皮瓣相对比胸大肌皮瓣更具备优势,可缩短手术时间,改善口腔功能,安全度、患者满意度较高。
Objective:To analyze the effect of different skin flaps in the treatment of oral and maxillofacial defects after tumor surgery.Methods:Fifty-eight patients with postoperative defects of oral and maxillofacial tumors were randomly divided into a control group and an observation group with 29 patients each.Flap repair surgery was performed in both groups,the control group selected flap at the position of pectoralis major muscle,while the observation group selected anterolateral femoral flap.and the effect of the flap in different parts was compared.Results:The total incidence of complication was lower;the times for operation,gastric tube removal,transoral feeding,and flap healing were shorter;the time for flap fabrication+microscopic anastomosis was longer;and the scores of shape repair,normal feeding,oral opening and closing function,oral water holding test,normal swallowing,masticatory function,verbal expression ability,and normal occlusion function,and the flap viability and satisfaction of repair were higher in the observation group than the control group(P<0.05).Conclusion:The results of postoperative flap repair for patients with oral and maxillofacial tumors varied among different flap repair procedures,and the anterolateral femoral flap was relatively more advantageous than the flap at the position of pectoralis major muscle,which could shorten the operative time,improve the oral function,and provide a higher degree of safety and patient satisfaction.
作者
王恪钢
WANG Kegang(Department of Stomatology,Xinxiang Central Hospital,Xinxiang 453000,China)
出处
《上海医药》
CAS
2024年第7期63-66,共4页
Shanghai Medical & Pharmaceutical Journal
关键词
不同皮瓣修复术
口腔颌面部肿瘤术
手术时间
口腔功能
股前外侧
满意度
different skin flap repair
oral and maxillofacial tumor surgery
operation time
oral function
anterolateral thigh
satisfaction
