带蒂胸大肌皮瓣修复口咽癌根治术后口咽部广泛组织缺损

发布时间：2018-06-17 12:27

本文选题：口咽癌 + 胸大肌皮瓣　；参考：《南京医科大学学报(自然科学版)》2017年02期

【摘要】：目的:探讨带蒂胸大肌皮瓣转移修复口咽癌根治术后口咽部广泛组织缺损的方法及疗效。方法:2012—2015年采用带蒂胸大肌皮瓣对10例口咽癌根治术后口咽部广泛组织缺损行修复,对临床资料作回顾性分析。结果:8例胸大肌皮瓣完全成活;1例胸大肌皮瓣局部坏死,经清创后大部分存活,不影响修复效果;1例胸大肌皮瓣完全坏死摘除。皮瓣存活病例修复后创面愈合平整不臃肿,不影响呼吸和吞咽,患者对语音和外形均较满意。胸部取瓣区短期会有组织紧张,随着愈合时间延长逐渐松弛,患者肩部活动不受影响。结论:带蒂胸大肌皮瓣是修复口咽癌根治术后口咽部大型复合组织缺损的良好方法,安全可靠,成功率较高。
[Abstract]:Objective: to investigate the method and effect of pedicled pectoralis major myocutaneous flap for the repair of extensive tissue defect of oropharynx after radical resection of oropharyngeal carcinoma. Methods 10 cases of oropharynx extensive tissue defect were repaired by pedicled pectoralis major myocutaneous flap from 2012 to 2015. The clinical data were analyzed retrospectively. Results 8 cases of pectoralis major flap survived completely and 1 case had local necrosis of pectoralis major flap. Most of them survived after debridement and 1 case had complete necrosis of pectoralis major myocutaneous flap after debridement. After the skin flap was repaired, the wound healing was not bloated, breathing and swallowing were not affected, and the patients were satisfied with speech and appearance. The chest flap area is short-term tissue tension, as the healing time gradually relax, the patient's shoulder movement will not be affected. Conclusion: pedicled pectoralis major myocutaneous flap is a good method for repairing the large compound tissue defect of oropharynx after radical oropharyngectomy. It is safe and reliable and has a high success rate.
【作者单位】：南京医科大学口腔疾病研究江苏省重点实验室南京医科大学附属口腔医院颌面外科;
【分类号】：R739.8

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