前臂游离皮瓣移植修复口腔癌术后软组织缺损的临床研究

目的探讨前臂游离皮瓣移植修复口腔癌术后软组织缺损的方法及经验体会。方法对笔者医院2005年3月～2011年3月期间收治38例口腔癌病例应用采用前臂游离皮瓣移植修复口腔癌术后软组织缺损的方法进行治疗,分析术后移植成活情况及术后并发症的发生情况。结果本组38例前臂游离皮瓣均完全成活,移植成功率为100%。1例术后出现血管危象,经检查发现伤口冲洗液引流不畅,为血凝块堵塞引流管所致,停止冲洗后更换引流管并清除血凝块后好转。术后血管危象发生率为2.6%(1/38)。1例出现皮缘处局部皮肤裂开,给予伤口换药治疗。术后并发症发生率为2.6%(1/38)。结论应用前臂游离皮瓣移植修复口腔癌术后软组织缺损是较为理想的方法。

A Clinical Study on Reconstruction of Maxillofacial Soft Tissue Defects after Oral Cancer Operation by Free Forearm Flap

Objective To discuss the method and experience of the reconstruction of maxillofacial soft tissue defects after oral cancer operation by free forearm flap.Methods Thirty eight patients with oral cancer recruited in our hospital from March 2005 to March 2011 were Treated by the method of the reconstruction of maxillofacial soft tissue defects after oral cancer operation by free forearm flap and the post-operative survival of transplant and the occurrence of post-operative complications were analyzed.Results Free forearm flaps for 38 cases in this group all survived,with the success rate of 100%.one case had the vascular crisis,which was caused by the blockage of blood coagulation in the drainage tube because of the unsmooth drainage of the rinse solution over the wound.It became better after stopping the rinse,replacing the drainage tube and cleaning off the blood coagulation.The incidence of post-operative vascular crisis was 2.6%(1/38).one case had the local chapped skin at the wound edge and thus received the treatment of changing dressings.The incidence of post-operative complications was 2.6%(1/38).Conclusion It is a relatively ideal method for the reconstruction of maxillofacial soft tissue defects after oral cancer operation by free forearm flap.