不同皮瓣修复术对口腔颌面部肿瘤术后缺损手术时间及口腔功能指标的影响
打开文本图片集
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、口腔開合功能、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
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
中图分类号：R739.8 文献标志码：B 文章编号：1006-1533（2024）07-0063-04
引用本文 王恪钢. 不同皮瓣修复术对口腔颌面部肿瘤术后缺损手术时间及口腔功能指标的影响[J]. 上海医药， 2024， 45（7）： 63-66.
The effect of different skin flaps on the operation time and oral function index of oral and maxillofacial defects after tumor surgery
WANG Kegang
（Department of Stomatology， Xinxiang Central Hospital， Xinxiang 453000， China）
ABSTRACT 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
KEY WORDS different skin flap repair； oral and maxillofacial tumor surgery； operation time； oral function； anterolateral thigh； satisfaction
口腔颌面部肿瘤是临床常见的疾病类型，手术治疗为通常的治疗手段，然而手术会产生创伤，对口腔软组织等造成影响，如出现大面积缺损等不良情况，影响口腔功能、降低美观度，对患者的心理和生理都会产生很大的伤害[1]。（剩余4854字）
网站仅支持在线阅读（不支持PDF下载），如需保存文章，可以选择【打印】保存。