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目的:分析颊部恶性肿瘤切除术后缺损部位利用游离股前外侧皮瓣修复的临床效果。方法:60例颊部恶性肿瘤手术患者分为2组,颊部缺损行股前外侧皮瓣移植修复32例(观察组),28例采用创缘松解直接拉拢缝合的修复方法(对照组)。分别所有患者术后并发症及满意度进行对比分析。结果:观察组手术成功32例,术后开口度均未受影响;对照组术后开口度有不同程度影响。经6~12个月随访,观察组对修复后外观满意率93.75%(30/32),高于对照组(60.71%,17/28),且没有出现并发症。术后患者恢复情况Ⅰ、Ⅱ级占比观察组为93.75%。远高于对照组的78.57%,差异有统计学意义(P<0.05)。结论:采用移植组织皮瓣修复颊部恶性肿瘤切除术后的缺损临床效果好,患者对修复后的满意度高,且并发症较少。
OBJECTIVE: To analyze the clinical effect of using free anterolateral skin flap to repair defect site after cheek malignant tumor resection. Methods: Sixty cases of cheek malignant tumor were divided into two groups. The anterior flank flap was repaired in 32 cases (observation group), and the other 28 cases were treated by wound healing (control group) . All patients were compared for postoperative complications and satisfaction. Results: In the observation group, 32 cases were successfully operated, the opening degree was not affected after operation. The opening degree of the control group had different degrees of postoperative opening. After 6 to 12 months of follow-up, the observation group was 93.75% (30/32) satisfied with the appearance after repair, which was higher than that of the control group (60.71%, 17/28). No complication occurred. Postoperative recovery of patients Ⅰ, Ⅱ grade accounted for the observation group was 93.75%. Far higher than the control group 78.57%, the difference was statistically significant (P <0.05). Conclusion: Transplantation of tissue flap for repair of defect after cheek malignant tumor resection has good clinical effect. The patient satisfaction after repair is high, and the complication is less.