论文部分内容阅读
目的:对比研究改良胸大肌岛状肌皮瓣与传统胸大肌岛状肌皮瓣在舌癌连续整块切除术后缺损修复中的的治疗效果。方法:选取2007年08月~2012年01月行舌癌连续整块切除术患者97例,其中49例采用改良胸大肌岛状肌皮瓣,48例采用传统胸大肌岛状肌皮瓣,分别命名为A组和B组,比较两组患者治疗效果和并发症发生情况。结果:A组治疗效果甲级、乙级、丙级分别为65.3%、28.6%、6.1%,B组治疗效果甲级、乙级、丙级分别为41.7%、33.3%、25.0%,A组治疗效果优于B组;A组术后并发症少于B组。结论:与传统胸大肌肌皮瓣相比,改良胸大肌岛状肌皮瓣治疗效果好,并发症少,能更好地实现舌癌连续整块切除术后缺损修复。
OBJECTIVE: To compare the therapeutic effects of modified pectoralis major myocutaneous myocutaneous flap and traditional pectoralis major myocutaneous flap in the repair of tongue cancer after continuous lump resection. Methods: A total of 97 consecutive patients undergoing tongue resection for tongue cancer from August 2007 to January 2012 were selected. Forty-nine patients were treated with modified pectoralis major myocutaneous flap and 48 patients with traditional pectoralis major myocutaneous flap , Respectively named group A and group B, the treatment effect and complication of the two groups were compared. Results: The treatment effect of group A were 65.3%, 28.6% and 6.1% respectively in group A, and 41.7%, 33.3% and 25.0% in group B respectively The curative effect was better than that of group B. The postoperative complications of group A were less than that of group B. Conclusion: Compared with the traditional pectoralis major myocutaneous flap, the modified pectoralis major myocutaneous flap is effective and has fewer complications. It can better repair the tongue cancer after the continuous lump resection.