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舌在语言、咀嚼和吞咽功能中起着非常重要的作用,因此舌癌患者在舌大部切除后应立即进行修复。我科自1980年以来采用胸大肌肌皮瓣修复舌缺损患者31例,兹报告如下。 临床资料 本组31例,男22例、女9例,年龄36～70岁。舌颌颈联合根治23例,舌颈联合根治2例,单纯肿瘤切除3例,舌切除范围包括半舌体、半舌、舌大部及部分口底组织;全舌切除加颌颈联合根治3例。皮岛面积最小者为4cm×6cm,最大者为11cm×15cm,血管蒂最长者18.5cm,蒂中含2支动脉者8例(含胸肩峰动脉和胸外侧动脉)。
Tongue plays a very important role in the function of language, chewing and swallowing. Therefore, patients with tongue cancer should be repaired promptly after partial mastectomy. My department since the pectoralis major myocutaneous flap repair 31 cases of tongue defects, it is reported as follows. Clinical data The group of 31 patients, 22 males and 9 females, aged 36 to 70 years. Tongue neck and neck joint radical cure in 23 cases, tongue and neck joint radical in 2 cases, simple tumor resection in 3 cases, the scope of resection of the tongue including the half tongue body, half tongue, most of the tongue and part of the mouth tissue; total tongue resection plus jaw neck joint radical 3 example. The smallest island area is 4cm × 6cm, the largest is 11cm × 15cm, the longest pedicle is 18.5cm, the pedicle contains 2 arteries in 8 cases (including the thoracic shoulder and the thoracic artery).