唇癌切除术后常出现较大的唇瓣缺损,给手术修复带来困难。作者采用带血管蒂唇组织瓣转移Ⅰ期修复缺损,效果满意。现介绍如下。例1.男性,56岁。下唇左侧口角处溃烂不愈1.5年于1988年4月入院。自诉近半年来溃烂增大,触之出血,并形成菜花样隆起,病理检查诊断:鳞状上皮癌。作唇癌切除。体检:营养状况良好,头颈部淋巴结无肿大。心、肺(-),肝脾无肿大。下唇近左侧口角处见一3.5×3×2.5cm菜花状肿物,表面有血痂及脓性分泌物。入院后第二天行唇癌切除术,带蒂唇组织瓣转移Ⅰ期修复缺损。术后6天拆线,切口Ⅰ期愈合。术后三年随访,肿瘤无复发,口裂增大,不影响进食。 After lipectomy, a large defect of the lip often occurs, which is difficult to repair. The authors used a vascularized lip tissue flap to transfer a stage I repair defect with satisfactory results. The introduction is as follows. Example 1. Male, 56 years old. The ulcer on the left lip of the lower lip was not cured. He was admitted to hospital in April 1988. Self-accusation increased in the past six months, causing bleeding, and the formation of cauliflower uplift, pathological diagnosis: squamous cell carcinoma. For lip cancer resection. Physical examination: Good nutrition, no swelling of head and neck lymph nodes. Heart, lung (-), liver and spleen are not swollen. A 3.5×3×2.5 cm cauliflower mass was seen near the lower lip at the lower lip, with bloody sputum and purulent secretions on the surface. On the second day after admission, lip cancer resection was performed and the pedicled lip flap was transferred to repair the defect. The sutures were removed 6 days after surgery and the incision healed on the first phase. After three years of follow-up, there was no recurrence of the tumor and increased oral cracks did not affect eating.