舌瓣及颊脂垫瓣修复在老年颊部缺损患者治疗中的临床应用研究

目的探讨舌瓣及颊脂垫瓣在老年颊部缺损患者中的临床治疗价值。方法选取2005年3月～2010年12月在某院就诊并且进行颊部缺损修复的45例老年患者采取舌瓣(舌瓣组,20例)及颊脂垫瓣(颊脂垫瓣组,25例)修复,术后定期随访观察创面愈合情况及术后并发症。结果术后12个月随访,舌瓣组显效率80.00%,好转率20%,有效率100.00%,颊脂垫瓣组显效率72.00%,好转率20%,有效率92.00%,比较显效率、好转率、有效率差异均无统计学意义(P﹥0.05);舌瓣组并发症发生率15.00%,颊脂垫瓣组并发症发生率16.00%,并发症发生率之间差异无统计学意义(P﹥0.05)。结论舌瓣及颊脂垫瓣不同修复体对老年颊部缺损患者进行修复,疗效满意,创伤均较小,并发症少,临床应用均有较高的临床价值。

Study on the clinical application of Flap and the buccal fat pad flap cheek defects in elderly patients

OBJECTIVE To investigate the clinical therapeutic value of flap and the buccal fat pad flap cheek defects in elderly patients.METHODS From March 2005-December 2010 in our hospital,45 elderly patients were checked defect repair to flap(flap group,20 cases)and buccal fat pad flap(buccal fat pad flap group,25 cases).We regularly followed up the wound healing and postoperative complications.After 12 months followed up,80.00% of the flap group showed efficiency,improvement rate showed 20%,efficiency rate was 100.00%,and the efficiency rate of buccal fat pad flap group was 72.00%,improvement rate was 20%,efficiency was 92.00%.There was no significantly difference between the efficient rate,improvement rate,and efficiency rate(P﹥0.05);The flap complication rate was 15.00% in flat group,and the complication rate was was 16.00% in buccal fat pad flap group.There was no significantly different in the incidence of complications(P﹥0.05).CONCLUSION The flap and buccal fat pad flap different prostheses in cheek defect repair for the elderly patients have aspects of satisfactory effect,less invasive,fewer complications and high clinical application value.