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目的 :探讨胸大肌肌皮瓣修复肿瘤术后口腔颌面部缺损发生并发症的主要因素及减少其发生的措施。方法 :对2010—2015年采用胸大肌肌皮瓣修复口腔颌面部缺损的78例患者进行回顾分析。结果 :16例患者出现与胸大肌肌皮瓣有关的并发症(20.51%),其中感染14例(17.65%),皮瓣不同程度坏死9例(11.54%),形成瘘管6例(7.69%)。结论:并发症的发生主要与患者的性别、年龄、全身状况(糖尿病、高血压)、皮瓣损伤、引流不畅有关,严格的适应证选择、精细的手术操作可有效减少并发症的发生。
OBJECTIVE: To explore the main factors and the measures to reduce the occurrence of complications of oral and maxillofacial defects after pectoralis major myocutaneous flap repair. Methods: A retrospective analysis was performed on 78 cases of oral and maxillofacial defect using pectoralis major myocutaneous flap from 2010 to 2015. Results: Complications of pectoralis major myocutaneous flap were found in 16 patients (20.51%), of which 14 (17.65%) were infected and 9 (11.54%) were necrosis of flap. Six cases (7.69% ). Conclusions: Complications occur mainly in patients with gender, age, general condition (diabetes, hypertension), flap injury, poor drainage, strict indications selection, fine surgical procedures can effectively reduce the incidence of complications.