| 李海婷,王婧.颏下岛状皮瓣修复术在口腔癌术后软组织缺损中 的应用分析[J].中国烧伤创疡杂志,2021,(3):197~200. |
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| 中文关键词: 口腔癌 软组织缺损 颏下岛状皮瓣修复术 游离桡侧前臂皮瓣修复术 开口度 吞咽功能 |
| 英文关键词:Oral cancer Soft tissue defect Submental island flap repair Radial forearm free flap repair Oral opening degree Oral function |
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| 中文摘要: |
| 【摘要】 目的 探讨颏下岛状皮瓣( SIF) 修复术在口腔癌术后软组织缺损中的应用效果? 方法 选取2015 年2月至2020 年2月河南科技大学第一附属医院收治的100例口腔癌术后软组织缺损患者作为研究对象, 按照治疗方法的不同分为观察组与对照组,每组50例, 观察组患者采用SIF修复术治疗, 对照组患者采用游离 桡侧前臂皮瓣(RFFF)修复术治疗, 对比观察两组患者手术时间?术后并发症发生情况及口腔开口度?吞咽功能恢复情况? 结果 观察组患者手术时间为(355.58 ± 64.25) min, 明显短于对照组患者的手术时间(412.36 ± 76.58) min(t = 4.016, P = 0.001); 术后, 观察组患者中出现皮瓣血运障碍1例?皮瓣感染1例, 并发症发生率为4.00% , 明显低于对照组患者中出现皮瓣血运障碍3例? 皮下血肿 2 例? 皮瓣感染4例, 并发症发生率18.00%(χ 2 = 5.005, P = 0.025); 术后3?6个月, 观察组患者口腔开口度明显大于对照组? 标准吞咽功能评估量表(SSA)评分明显低于对照组(口腔开口度: t= 5. 295? 2.800, P < 0.001? P = 0.006; SSA评分: t = 4.507? 4.317, P 均 < 0.001)? 结论 给予口腔癌术后软组织缺损患者SIFP修复术治疗, 可明显缩短手术时间, 降低术后并发症发生率, 提高口腔开口恢复程度, 改善吞咽功能, 临床应用价值较高? |
| 英文摘要: |
| 【Abstract】Objective To investigate the application effect of submental island flap(SIF) repair in the treatment of patients with soft tissue defect after oral cancer surgery. Methods 100 patients with soft tissue defect after oral cancer surgery, admitted to the First Affiliated Hospital of Henan University of Science and Technology from May 2015 to May 2020, were divided, according to the treatments they received, into an observation group and a control group, with 50 cases in each group. Patients in the observation group were treated with the SIF repair, and patients in the control group with radial forearm free flap(RFFF) repair. The intraoperative blood loss, operation time, oral opening degree and swallowing function at each time point were compared between two groups, and the occurrence of complications were also recorded in the two groups. Results The operation time in the observation group was(355.58±64.25) min, much shorter than(412.36±76.58) min in the control group(t=4.016, P=0.001). After surgery, the incidence of complications was 4.00% in the observation group with one case developed flap hemodynamic disorder and one case flap infection, much lower than 18.00% in the control group with 3 cases flap hemodynamic disorder, 2 cases subcutaneous hematoma and 4 cases skin flap infection(χ2= 5.005, P=0.025). At 3 and 6 months after surgery, the oral opening degree of patients in the observation group was significantly larger than that in the control group, and the standard swallowing assessment(SSA) score was significantly lower(oral opening degree: t=5.295 and 2.800, P＜0.001, P=0.006; SSA score: t=4.507 and 4.317, both P <0.001). Conclusion SIF repair for patients with soft tissue defects after oral cancer surgery can significantly shorten their operation time, reduce the incidence of postoperative complications, and improve oral opening degree and swallowing function, showing a high value of clinical application. |
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