前臂皮瓣与胸大肌皮瓣在口腔癌手术缺损修复中的应用

目的:观察前臂皮瓣和胸大肌皮瓣修复口腔癌手术缺损的治疗效果。方法:30例口腔癌患者在常规联合根治术后,随机分为A、B组,每组15例。A组采用前臂桡侧皮瓣游离移植同期修复口腔癌术后口腔颌面部缺损,B组采用胸大肌皮瓣同期修复口腔癌术后口腔颌面部组织缺损;对比两组的修复效果。结果:A组13例(86.67%)前臂皮瓣顺利成活,B组皮瓣成活率100%。A组中有6例患者虎口感觉消失、4例患者供区颜色极深或极浅;B组中有4例女性患者术后两侧乳房不对称。结论:前臂皮瓣和胸大肌皮瓣修复口腔癌手术缺损均具有较高的成功率,两种皮瓣均适用于口腔癌手术缺损修复。

Clinical Efficacy of Radial Forearm Free Flap and Pectoralis Major Myocutaneous Flap in Oral Cancer Reconstruction

Objective: To evaluate the clinical efficacy of pectoralis major myocutaneous flap and radial forearm free flap in oral cancer reconstruction.Methods: 30 patients with oral cancer were divided into 2 groups randomly.The oral and maxillofacial defects of the group A(n=15) were repaired by radial forearm free flaps.The tissue defects of group B(n=15) were repaired with modified pectoralis major myocutaneous flaps.The repair effects of the two different ways were evaluated.Result: The survival rate of flaps in groups A was 86.67% while those in group B was 100%.In group A,6 cases disappeared of skin sensation in the donor hand within an area between the thumb and index finger,and the color in donor site were found deepen or sublimes in 4 cases.In group B,4 cases showed asymmetrical level of breasts position.Conclusion: Both radial forearm free flap and pectoralis major myocutaneous flap show a high success rate.These two kinds of flaps may be adequate for repairing tissue defects during oral cancer surgery.