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目的:对比胸锁乳突肌皮瓣与股前外侧皮瓣在急诊口腔颌面部软组织缺损修复中的临床效果。方法:急诊口腔颌面部软组织缺损患者80例,根据修复方法的不同分为治疗组与对照组各40例,治疗组采用股前外侧皮瓣修复治疗,对照组采用胸锁乳突肌皮瓣修复治疗。结果:所有患者都皮瓣移植成功,治疗组与对照组的治愈率分别为95.0%与80.0%,组间比较差异有统计学意义(P<0.05)。随访6个月,治疗组术后皮瓣坏死、感染、吞咽困难、切口裂开等总体并发症发生率明显少于对照组(P<0.05)。治疗组的复发率为2.5%,而对照组为12.5%,组间比较差异有统计学意义(P<0.05)。结论:股前外侧皮瓣在急诊口腔颌面部软组织缺损修复中的应用能提高治愈效果,减少并发症与复发情况的发生,值得推广应用。
Objective: To compare the clinical effect of sternocleidomastoid myocutaneous flap and anterolateral thigh flap in the repair of oral and maxillofacial soft tissue defects. Methods: A total of 80 patients with oral and maxillofacial soft tissue defect were divided into treatment group (40 cases) and control group (40 cases). The treatment group was treated by anterolateral anterolateral skin flap, and the control group was treated by sternocleidomastoid flap Repair treatment. Results: The skin flap transplantation was successful in all patients. The cure rates of the treated group and the control group were 95.0% and 80.0%, respectively. There was significant difference between the two groups (P <0.05). The follow-up of 6 months showed that the incidence of postoperative complications such as necrosis, infection, dysphagia and incision in the treatment group were significantly less than those in the control group (P <0.05). The recurrence rate of the treatment group was 2.5%, while the control group was 12.5%, the difference between the two groups was statistically significant (P <0.05). Conclusion: The application of an anterolateral femoral skin flap in the repair of oral and maxillofacial soft tissue defects can improve the curative effect and reduce the occurrence of complications and recurrence, which is worth popularizing and applying.