论文部分内容阅读
目的观察延长下斜方肌肌皮瓣修复颅底缺损的效果。方法 11例颅底肿瘤切除后的缺损患者,其中男性9例,女性2例。恶性肿瘤9例,良性肿瘤2例,修复均与手术同期完成。结果 7例患者Ⅰ期愈合,3例皮瓣远端部分坏死,1例切口裂开。恶性肿瘤患者的1年生存率为100%,2年生存率为67%。以上术式功能修复效果好,修复局部有不同程度的塌陷畸形,外形效果一般。结论延长下斜方肌肌皮瓣术式可用于颅底肿瘤切除后缺损的Ⅰ期修复,功能效果好,外形效果一般。
Objective To observe the effect of prolonging trapezius muscle myocutaneous flap in repairing skull base defect. Methods 11 cases of skull base tumor resected defect patients, including 9 males and 2 females. 9 cases of malignant tumors, 2 cases of benign tumors, repair and surgery were completed simultaneously. Results Seven patients had primary heal, three had distal necrosis of the flap, and one had incision open. The 1-year survival rate of patients with malignant tumors was 100% and the 2-year survival rate was 67%. The above surgical repair function is good, repair local collapse degree of varying degrees of deformity, shape effect in general. Conclusion Extending the trapezius musculocutaneous flap surgery can be used for stage Ⅰ repair of defects after skull base tumor resection, with good functional effect and general appearance.