论文部分内容阅读
本文报告我科1978年1月～1987年12月10年间224例舌癌联合根治术后应用各类组织瓣一期重建缺损的治疗经验。移植234块组织瓣的总成功率为94.0％。作者指出:游离前壁皮瓣手术简单,成功率高,是理想的半舌切除后舌再造的首选皮瓣。胸大肌肌皮瓣或背阔肌肌皮瓣能提供丰厚的组织,适用于全舌、全口底切除后的整复。肋骨背阔肌或肋骨胸大肌肌皮瓣则适用于全舌、口底和下领骨联合根治性切除术后缺损的立即整复。
This article reports on the treatment experience of one-stage reconstructive defect of various types of tissue flaps after 244 cases of tongue cancer combined with radical surgery in our department from January 1978 to December 1987. The total success rate of transplanting 234 tissue flaps was 94.0%. The authors pointed out that the free anterior wall flap has a simple operation and a high success rate. It is the ideal flap for tongue reconstruction after half tongue resection. Pectoralis major myocutaneous flaps or latissimus dorsi myocutaneous flaps provide abundant tissue and can be applied to full-tongue or full-mouth reconstruction. The rib latissimus dorsi or rib pectoralis major myocutaneous flap is suitable for immediate restoration of defects after total tongue, floor, and lower collar bone combined with radical resection.