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目的探讨皮瓣修复上唇鳞状细胞癌术后缺损的临床疗效。方法对11例上唇鳞状细胞癌患者行根治术,术后缺损采用abbe皮瓣分两期进行手术修复,并对修复效果进行观察。结果仅1例患者出现Ⅱ°小口畸形,经再次予小口畸形矫正术后,外形恢复好。其余患者均临床治愈,术后皮瓣成活,口唇外形良好,进食、言语功能不受限,患者满意。结论 Aboe皮瓣修复上唇鳞状细胞癌术后缺损的效果好,唇功能不受限,患者满意度高,可作为上唇鳞癌术后缺损修复的常规术式。
Objective To investigate the clinical effect of skin flap in the repair of upper lip squamous cell carcinoma after operation. Methods Eleven patients with squamous cell carcinoma of the upper lip were treated with radical mastectomy. The abbe flap was treated by surgery in two stages and the repair effect was observed. Results Only one patient had Ⅱ ° small mouth deformity, and the shape recovery was good after the correction of small mouth deformity again. The remaining patients were clinically cured, survival flaps, lip shape is good, eating, speech function is not limited, patients are satisfied. Conclusion Aboe skin flap is effective in repairing upper lip squamous cell carcinoma postoperative defect, lip function is not limited and patient satisfaction is high. It can be used as a routine surgical method for upper lip squamous cell carcinoma after operation.