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胸大肌肌皮瓣修复口腔癌术后缺损并发症原因分析
引用本文:殷学民,李燕,吕晓智,张磊涛,王立超,任晓旭,卢志云. 胸大肌肌皮瓣修复口腔癌术后缺损并发症原因分析[J]. 实用口腔医学杂志, 2011, 27(5): 696-698
作者姓名:殷学民  李燕  吕晓智  张磊涛  王立超  任晓旭  卢志云
作者单位:南方医科大学南方医院口腔颌面外科, 广州,510515
基金项目:广东省高校自然科学研究重点项目
摘    要:目的:分析胸大肌肌皮瓣修复口腔癌术后缺损出现并发症的原因。方法:对40例晚期口腔癌患者行扩大根治术后采用胸大肌肌皮瓣修复口内组织缺损,对出现并发症的原因进行总结分析。结果:1例皮瓣部分坏死(2.5%),2例术后伤口裂开形成颏下瘘管(5%),2例颈部伤口感染(5%)。结论:细致的手术操作,术中充分止血,术后通畅的引流及口腔护理可有效避免并发症的发生,提高胸大肌肌皮瓣的移植成活率。

关 键 词:胸大肌肌皮瓣  并发症  口腔癌术后缺损

Analysis of the complications of pectoralis major myocutaneous flap used for the reconstruction of the defects in patients with oral cancer
YIN Xuemin,LI Yan,LV Xiaozhi,ZHANG Leitao,WANG Lichao,REN Xiaoxu,LU Zhiyun. Analysis of the complications of pectoralis major myocutaneous flap used for the reconstruction of the defects in patients with oral cancer[J]. Journal of Practical Stomatology, 2011, 27(5): 696-698
Authors:YIN Xuemin  LI Yan  LV Xiaozhi  ZHANG Leitao  WANG Lichao  REN Xiaoxu  LU Zhiyun
Affiliation:YIN Xuemin,LI Yan,LV Xiaozhi,ZHANG Leitao,WANG Lichao,REN Xiaoxu,LU Zhiyun.510515 Guangzhou,Department of Oral and Maxillofacial Surgery,Nan Fang Hospital,Southern Medical University,China
Abstract:Objective:To analyse the complications of pectoralis major myocutaneous flap used for reconstruction of the defects in patients with oral cancer.Methods:40 patients underwent resection of advanced oral cancer and the intra oral defects were reconstructed with pectoralis major myocutaneous flap.The complications were analysed.Results:Partly necrosis was found in 1 flap(2.5%),submental fistula in 2(5%),and neck infection in 2(5%).Conclusion:The hemostasis during operation,postoperative unobstructed drainage a...
Keywords:Pectoralis major myocutaneous flap  Complication  Oral cancer defects  
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