论文部分内容阅读
目的:观察血管化游离组织瓣应用于口腔颌面部缺损的临床效果,为后期临床治疗提供参考。方法:选取我院门诊收入行血管化游离组织瓣修复口腔颌面部缺损患者的86例临床资料,回顾性分析皮瓣成活率等情况。结果:本组86例患者经血管化游离组织瓣修复,患者总满意度达94.2%,腓骨肌皮瓣满意度为94.3%,股前外侧肌皮瓣满意度94.5%,前臂皮瓣满意度92.9%;各组织瓣失败例数及总失败例数间比较,差异无统计学意义(x2=1.0698,P=0.7844)。结论:合理选择适宜血管组织瓣对口腔颌面部缺损进行修复的临床效果显著,患者面部外形及口腔功能恢复好,安全性高,值得推广应用。
Objective: To observe the clinical effect of vascularized free tissue flap on oral and maxillofacial defect, and provide reference for clinical treatment in the later period. Methods: The clinical data of 86 patients with oral and maxillofacial defects repaired by vascularized free tissue flap were collected. The survival rate of the flaps were retrospectively analyzed. Results: Totally 86 patients were repaired by vascularized free tissue flap. The total satisfaction rate was 94.2%, satisfaction rate of peroneal muscle flap was 94.3%, satisfaction rate of anterolateral myocutaneous flap was 94.5% and forearm flap satisfaction was 92.9 %. There was no significant difference between the number of failed cases and the total number of failed cases (x2 = 1.0698, P = 0.7844). Conclusion: The reasonable choice of suitable vascular tissue flap for the repair of oral and maxillofacial defects has a significant clinical effect. The facial shape and oral function of the patients have good recovery and high safety, which is worth popularizing and applying.