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目的探讨舌癌根治术同期应用胸锁乳突肌肌蒂皮瓣修复舌体缺损的临床效果。方法自1998-07~2003-08,应用胸锁乳突肌肌蒂皮瓣行舌再造术同期修复13例舌癌根治术后舌缺损。结果13例中11例肌皮瓣完全成活,术后经1年以上随访,再造舌外形满意,吞咽和语音功能恢复良好。结论胸锁乳突肌肌蒂皮瓣术式简单、安全,操作技术容易,易于推广应用,可在联合根治同一术野内同期完成,供区不额外增加疤痕和缺损,是舌癌术后舌缺损修复的有效方法。
Objective To investigate the clinical effect of sternocleidomastoid muscle pedicle flap in the correction of tongue defects during radical resection of tongue cancer. Methods From July 1998 to August 2003, 13 cases of tongue cancer after radical resection of tongue carcinoma were treated with tongue reconstruction with sternocleidomastoid muscle pedicle flap. Results Of the 13 cases, 11 cases of myocutaneous flaps survived completely. After more than one year follow-up, the shape of rebuilt tongue was satisfactory, and the swallowing and phonetic functions recovered well. Conclusions Sternocleidomastoid muscle pedicle flap is simple, safe, easy to operate, easy to popularize and apply. It can be performed in the same operation area simultaneously. It does not increase the scar and defect in the same area. Effective method of repair.