前臂桡侧皮瓣在舌再造中的应用

目的总结两年来应用前臂游离皮瓣修复舌癌根治术造成的舌缺损的经验。方法搜集2002-02-2004-02应用前臂游离皮瓣进行舌缺损修复的临床资料进行分析和经验总结。结果26例皮瓣，25例完全成活，1例皮瓣因动脉栓塞经二次手术后坏死，创面经换药后愈合，追踪观察6个月-2年，再造舌具有适当的何种和外形及具有良好的活动能力。结论游离前臂皮瓣是舌癌根治术后舌缺损修复的良好材料，临床应用成功率高，能基本满足患者的正常生活。

Application of Forearm Flap in Tongue Reconstrution

Objective To sum up the experiences of tongue repair after radical operation of tongue carcinoma with free forearm flap in the last two years. Methods The clinical data of 26 patients underwent forearm free flap transfer for tongue repair from February 2002 to February 2004 were retrospectively analysed . Results Among the 26 grafted forearm flaps, 25 survived. Only one flap occurred arterial thrombosis and necrosis after the second operation.All the patients were followed up for 6 months to 2 years. Reconstruction tongues had suitable volume and shape as well as perfect movement ability. Conclusion Free forearm flap was suitable to repair the tongue defect after radical operation of tongue caicinoma. The rate of operation success was high, and reconstructed tongues could basically meet patient's normal life.