口腔颌面部恶性肿瘤术后穿透性缺损的修复与重建中带皮神经的股前外侧皮瓣的运用效果分析

目的 探讨口腔颌面部恶性肿瘤术后穿透性缺损的修复与重建中带皮神经的股前外侧皮瓣的运用效果.方法 选取口腔颌面部恶性肿瘤患者40例,依据随机数表法分为观察组及对照组,两组患者各20例.对照组患者受区采用传统的股前外侧皮瓣术后修复,观察组患者受区采用带股外侧皮神经游离股前外侧皮瓣进行修复.对患者进行术后12个月的随访,比较...

Effect Analysis of Anterolateral Femoral Skin Flap with Cutaneous Nerve in Repair and Reconstruction of Penetrating Defects after Oral and Maxillofacial Malignant Tumors

Objective To explore the effect of anterolateral femoral skin flap with cutaneous nerve in the repair and reconstruction of penetrating defects of oral and maxillofacial cancer.Methods 40 patients with oral and maxillofacial malignant tumors were selected and divided into the observation group and the control group according to the random number table method,with 20 patients in each group.The receiving area of the control group was repaired with traditional anterior lateral femoral skin flap,and the receiving area of the observation group was repaired with free anterior lateral femoral skin flap with lateral femoral cutaneous nerve.The patients were followed up for 12 months after surgery to compare the oral cavity dysfunction and satisfaction of the oral repair function between the 2 groups.Results The incidence of oral cavity in the observation group was lower than that of the control group(30.00%vs 85.00%)(χ²=12.379,P<0.001);The postoperative excellent rate of the observation group was significantly better than that of the control group,the difference was statistically significant(85.00%vs 40.00%)(χ²=8.640,P=0.003);The observation group's postoperative food,speech,sensation and scar satisfaction scores were higher than those of the control group(P<0.05);There was no significant difference in the incidence of postoperative complications in the donor area between the 2 groups(P>0.05).Conclusion The anterolateral femoral skin flap with cutaneous nerve has a better effect on oral skin repair and reconstruction,and has higher safety.