颏下岛状肌皮瓣在修复舌癌术后缺损中的临床应用

发布时间：2018-03-03 04:38

本文选题：颏下岛状肌皮瓣　切入点：舌癌　出处：《河北医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:检测评价患者术后3个月、术后1年的吞咽功能变化,探讨颏下岛状肌皮瓣在舌癌术后组织缺损重建中的临床应用。方法:收集2014年12月至2015年12月间在河北医科大学第四医院口腔科住院治疗的14例舌癌根治术后采用颏下岛状肌皮瓣行舌缺损修复重建的病例资料,所有患者行舌癌根治术后即刻采用颏下岛状肌皮瓣转移修复舌缺损。对术后3个月、术后1年的吞咽功能进行评分,通过GUSS吞咽功能评估表对患者修复后的吞咽功能进行评价。采用SPSS21.0软件,对术后3个月和术后1年的吞咽功能指标评分进行t检验,P0.05为差异有统计学意义。结果:14例颏下岛状肌皮瓣转移修复舌缺损术后,皮瓣坏死者0例,皮瓣成活率100%。术后3个月吞咽功能平均评分为14.31±0.57,GUSS评价示有些吞咽困难;术后1年吞咽功能平均评分为18.08±0.52,GUSS评价示轻微吞咽困难。经配对t检验,术后3个月的吞咽功能评分与术后1年比较,差异有统计学意义(t=4.864,P0.001)。结论:应用颏下岛状肌皮瓣修复重建舌缺损能基本恢复舌癌术后患者的吞咽功能,在一定程度上满足舌缺损修复重建的临床需要,其应用价值仍可进一步拓展。
[Abstract]:Objective: to evaluate the changes of swallowing function in 3 months and 1 year after operation. To investigate the clinical application of submental island myocutaneous flap in reconstruction of tissue defect after tongue cancer operation methods: from December 2014 to December 2015, 14 cases of tongue cancer were collected after radical mastectomy in Department of Stomatology, 4th Hospital of Hebei Medical University. Cases of tongue reconstruction with submental island myocutaneous flap, Tongue defect was repaired by submental island myocutaneous flap transfer immediately after radical resection of tongue cancer. The swallowing function of the patients was evaluated by GUSS swallowing function evaluation table. SPSS21.0 software was used to evaluate the swallowing function of the patients. There was a significant difference in the score of swallowing function between 3 months after operation and 1 year after operation. Results 14 cases of submental island myocutaneous flap were transferred to repair tongue defect, and there were 0 cases of flap necrosis. The average score of swallowing function was 14.31 卤0.57g USS at 3 months after operation and slightly dysphagia by paired t test. The score of swallowing function in 3 months after operation was significantly different from that in 1 year after operation. Conclusion: the reconstruction of tongue defect with submental island myocutaneous flap can basically restore the swallowing function of patients with tongue cancer after operation. To a certain extent, it can meet the clinical needs of tongue defect repair and reconstruction, and its application value can be further expanded.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R739.86

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