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目的探讨组织瓣移植在头颈部肿瘤术后即可修复中的可行性和应用价值。方法观察48例头颈肿瘤术后组织瓣移植,分析所采用皮瓣的类型受区血管,皮瓣成活情况及并发症的发生情况,并分析有可能影响皮瓣成活的各种因素。结果前臂皮瓣、胸大肌皮瓣、腓骨肌皮瓣、股外侧皮瓣为最常用的4种组织瓣,占全部皮瓣的95%,组织瓣成活的临床成功率为96%,术后血栓的发生率为6%,受区和供区总的并发症发生率为10%,但大多数并发症均不严重,没有造成严重的后果。结论头颈部肿瘤术后组织瓣移植是安全可靠的,整形与修复的开展能扩大手术的切除范围,提高生存率,减少局部复发率。
Objective To investigate the feasibility and value of tissue flap transplantation in repairing head and neck cancer. Methods Twenty - eight cases of head and neck tumor were treated with tissue flap transplantation. The types of flaps used were analyzed. The survival of the vessels and flaps and the complications were analyzed. Various factors that might affect the survival of the flaps were analyzed. Results Forearm flap, pectoralis major myocutaneous flap, fibular myocutaneous flap and lateral femoral flap were the most commonly used tissue flaps, accounting for 95% of all flaps. The clinical success rate of flap survival was 96% The incidence of thrombosis was 6%. The overall complication rate was 10% in the receiving and donor areas, but most of the complications were not serious with no serious consequences. Conclusion Tumor flap transplantation is safe and reliable after head and neck cancer surgery. The plastic surgery and repair can expand the surgical resection scope, improve the survival rate and reduce the local recurrence rate.