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作者对由于大块切除原发或复发性肿瘤所造成的头颈部组织缺损用胸大肌肌皮瓣修复,其效果虽较其他方法为佳,但也发生了并发症。作者在1982年前4年间共有86例患者进行胸大肌肌皮瓣重建手术,其中9例为双侧,故总数为95个胸大肌肌皮瓣单位。根据术前接受放射治疗与否,将病例分成二组。在非放射组中35个皮瓣用於修复原发肿瘤切除后的缺损,另有3个用於矫正创伤性畸形;57个皮瓣用於术前放射组,其中12个用于闭合持久不愈的瘘管,5个用於重建由放射性坏死的喉或下颌骨的损害,覆盖暴露血管的6
The authors used pectoralis major myocutaneous flaps to repair defects in the head and neck caused by primary resection or recurrent tumors. The effect was better than other methods, but complications also occurred. In the first 4 years of 1982, a total of 86 patients underwent reconstruction of pectoralis major myocutaneous flaps, of which 9 were bilateral, so the total number of pectoralis major myocutaneous flap units was 95. Patients were divided into two groups according to whether they received radiation therapy before surgery or not. In the non-radioactive group, 35 flaps were used to repair the defect after resection of primary tumors, and 3 were used to correct traumatic malformations; 57 flaps were used in the preoperative radiology group, 12 of which were used for permanent closure. The more fistulas, the 5 used to reconstruct the lesions by radioactive necrosis of the larynx or mandible, covering the exposed blood vessels 6