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目的:研究患者年龄对口腔癌患者游离股前外侧皮瓣修复术围手术期并发症的影响。方法:选取2008年1月~2016年5月行口腔癌根治并行游离股前外侧皮瓣同期修复的患者550例进行回顾性分析,所有患者分为≥60岁高龄组159例和<60岁低龄组391例,收集患者围手术期并发症等临床资料,并分析年龄等对并发症发生的影响。结果:高龄组患者并发症总发生率、皮瓣修复成功率与低龄组比较(30.8%vs25.6%;96.4%vs97.0%),差异均无统计学意义(均P>0.05)。并发症全身发生率、局部发生率差异组间比较也均无统计学意义(均P>0.05)。口腔癌患者游离股前外侧皮瓣修复术后并发症发生与美国麻醉医师协会患者分级、手术时间、伴发疾病及住院时间密切有关(均P<0.05)。多因素分析结果显示,美国麻醉医师协会患者分级、手术时间、伴发疾病为口腔癌患者游离股前外侧皮瓣修复并发症发生的独立影响因素(均P<0.05),而与患者年龄无明显相关(P<0.05)。结论:高龄不会增加口腔癌游离股前外侧皮瓣修复术围手术期并发症的发生;控制手术时间可有效减少围手术期并发症发生。
Objective: To study the influence of patient age on perioperative complications in patients with oral cancer who underwent free anterolateral skin flap repair. Methods: From January 2008 to May 2016, 550 patients undergoing concurrent radical resection of anterior free flap with oral cancer undergoing radical resection were retrospectively analyzed. All patients were divided into two groups: 159 patients aged ≥60 years old and younger than 60 years old Group 391 cases, collected perioperative complications and other clinical data, and analysis of age and other complications on the impact. Results: The incidence of complications and the success rate of skin flap repair in the elderly group were significantly higher than those in the younger group (30.8% vs 25.6%; 96.4% vs 97.0%, respectively). There was no significant difference (all P> 0.05). There was no significant difference between the two groups in the incidence of systemic complications and local incidence (all P> 0.05). The incidence of postoperative complications in patients with oral cancer treated with free anterolateral skin flap was closely related to the American Society of Anesthesiologists classification of patients, operation time, concomitant diseases and hospital stay (all P <0.05). The results of multivariate analysis showed that the American Society of Anesthesiologists classification of patients, operative time, and associated diseases were independent factors affecting the complication of free anterolateral skin flap in patients with oral cancer (all P <0.05), but not with age Related (P <0.05). Conclusion: Older age does not increase perioperative complications of free radical anterolateral skin flap repair in oral cancer. Controlling the operation time can effectively reduce the occurrence of perioperative complications.