国际口腔医学杂志

国际口腔医学杂志 ›› 2014, Vol. 41 ›› Issue (6): 639-642.doi: 10.7518/gjkq.2014.06.005

• 论著 • 上一篇    下一篇

颏下岛状皮瓣同期修复口腔癌术后缺损的临床应用

林勇1，毛驰2   

  1. 1.濮阳市油田总医院口腔颌面外科 濮阳 457001； 2.北京大学口腔医学院•口腔医院口腔颌面外科 北京 100081
  • 出版日期:2014-11-01 发布日期:2014-11-01
  • 作者简介:林勇，副主任医师，硕士，Email：janet897@163.com

Clinical application of submental island flap to repair the defect during the same period after oral cancer surgery

Lin Yong1, Mao Chi2   

  1. 1. Dept. of Oral and Maxillofacial Surgery, Puyang City Oil Field General Hospital, Puyang 457001, China; 2. Dept. of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Peking University, Beijing 100081, China
  • Online:2014-11-01 Published:2014-11-01

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摘要：

目的 观察颏下岛状皮瓣（SIF）同期修复口腔癌术后缺损的临床效果。方法 回顾分析60例口腔癌术后缺损患者临床资料，将其按照治疗方法分为试验组和对照组，每组30例，试验组应用颏下岛状皮瓣进行术后缺损的修复，对照组应用前臂的桡侧皮瓣进行术后缺损的修复，对比2组的临床疗效。结果 试验组临床疗效有25例为优，4 例为良，其优良率达到96.7%，而对照组20例为优，6例为良，其优良率仅86.7%，2组相较，无明显差异（P> 0.05）。试验组平均手术时间为（45.72±7.64）min，对照组平均手术时间为（60.14±10.68）min，2组的差异有统计学意义（P<0.05）。试验组平均术中出血量为（23.33±4.13）mL，对照组平均出血量为（27.79±5.38）mL，2组的差异有统计学意义（P<0.05）；2组均未出现颈部的切口感染等相关临床并发症。结论 口腔癌术后缺损应用SIF进行同期修复，不仅皮瓣的制备操作简单，而且手术用时也较短，术中出血量较少，患者取瓣伤口较隐蔽，皮瓣修复成活率高，效果显著。

关键词: 口腔癌术后, 同期修复, 颏下岛状皮瓣

Abstract:

Objective This study aimed to observe the clinical effects of submental island flap(SIF) for repairing oral defects after oral cancer surgery. Methods A retrospective analysis of 60 cases of postoperative oral cancer defects in patients with clinical data was performed. The experimental group and the control group were subjected to treatment(30 cases in each group). SIF was used to repair postoperative defects in the experimental group. By contrast, the defects of the control group were treated by using the radial forearm flap after surgery. A significant difference occurred between the two groups. Results The clinical efficacy of the 25 cases in the experimental group was excellent, and 4 cases were good. Approximately 96.7% of the cases in the experimental group achieved excellent and good ratings. In the control group, 20 cases were excellent, and6 cases were good. Approximately 86.7% of the cases in the control group achieved excellent and good ratings. Thus, the two groups had no significant difference(P>0.05). The mean operation time in the experimental group was (45.72±7.64) min. The mean operation time in the control group was (60.14±10.68) min. Thus, a statistically significant difference(P<0.05) was observed. The average bleeding volume was (23.33±4.13) mL, whereas the mean bleeding volume obtained from the control group was (27.79±5.38) mL. Therefore, a statistically significant difference(P<0.05) was exhibited between the two groups. The findings indicate that the two groups were not associated with the clinical complications of cervical incision. Conclusion The application of SIF for treatment of oral cancer postoperative defects is advantageous because it is a simple and minimally invasive procedure. In addition, using SIF provides short operation time, allows less amount of intraoperative bleeding, and conceals the wound caused by flap insertion.

Key words: after oral cancer surgery, repair at the same time, submental island flap

[1] 孙坤综述 李爱群审校. 双侧完全性唇裂鼻唇同期修复及效果评价的进展[J]. 国际口腔医学杂志, 2012, 39(5): 631-634.
[2] 潘孟雄 马祥伟 覃小荣 毛峻武 李波 刘治强. 原发灶对侧颏下岛状皮瓣整复口腔颌面部 缺损的临床应用[J]. 国际口腔医学杂志, 2011, 38(1): 22-23.
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