| CTA辅助游离股前外侧肌皮瓣修复舌癌术后缺损的应用研究 |
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| 引用本文： | 明华伟,何芸,张兴安,韩新生,王华东,谭小尧.CTA辅助游离股前外侧肌皮瓣修复舌癌术后缺损的应用研究[J].中国美容医学,2019(2):23-26. |
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| 作者姓名： | 明华伟 何芸 张兴安 韩新生 王华东 谭小尧 |
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| 作者单位： | 川北医学院第二临床医学院·南充市中心医院口腔颌面外科 |
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| 基金项目： | 四川省南充市科技局资助项目(编号:16YFZJ0026);川北医学院科研发展计划项目(编号:CBY16-A-YB43) |
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| 摘 要： | 目的:探讨CTA(CT血管造影)对指导游离股前外侧肌皮瓣制备的辅助价值及该皮瓣在舌癌术后缺损修复中的临床效果。方法:对17例明确诊断为舌鳞形细胞癌的患者,术前采用CTA辅助定位旋股外侧动脉降支的穿支血管,选取以该穿支血管为蒂的股前外侧肌皮瓣游离移植修复舌癌术后软组织缺损。结果:所有患者术前CTA辅助定位穿支血管的皮瓣制备在术中按计划均获成功,游离移植肌皮瓣全部存活。术后随访6～36个月,患者舌体形态、功能恢复良好,无明显吞咽及言语功能障碍,局部未见肿瘤复发,供瓣肢无功能障碍。其中1例(T_4N_2M_0)于术后12个月合并肝、肺转移后死亡。结论:CTA辅助定位旋股外侧动脉穿支血管的方法可靠、实用,游离股前外侧肌皮瓣是修复舌癌术后软组织缺损较为理想的选择。
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| 关 键 词： | CT血管造影(CTA) 股前外侧肌皮瓣 舌癌 游离皮瓣 修复重建 |
Application of Computed Tomography Angiography Assisting Anterolateral Thigh Myocutaneous Flap in the Reconstruction of Postoperative Defects After Resection of Tongue Carcinoma |
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| MING Hua-wei,HE Yun,ZHANG Xing-an,HAN Xin-sheng,WANG Hua-dong,TAN Xiao-yao.Application of Computed Tomography Angiography Assisting Anterolateral Thigh Myocutaneous Flap in the Reconstruction of Postoperative Defects After Resection of Tongue Carcinoma[J].Chinese Journal of Aesthetic Medicine,2019(2):23-26. |
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| Authors: | MING Hua-wei HE Yun ZHANG Xing-an HAN Xin-sheng WANG Hua-dong TAN Xiao-yao |
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| Institution: | (Department of Oral and Maxillofacial Surgery,the Second Clinical Medical College of North Sichuan Medical College,CentralHospital of Nanchong,Nanchong 637000,Sichuan,China) |
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| Abstract: | MING Hua-wei;HE Yun;ZHANG Xing-an;HAN Xin-sheng;WANG Hua-dong;TAN Xiao-yao(Department of Oral and Maxillofacial Surgery,the Second Clinical Medical College of North Sichuan Medical College,CentralHospital of Nanchong,Nanchong 637000,Sichuan,China) |
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| Keywords: | computed tomography angiography anterolateral thigh myocutaneous flap tongue carcinoma free flap reconstruction |
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