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目的比较口腔癌手术缺损应用胸大肌皮瓣与前臂皮瓣修复的效果。方法按照数字表法将口腔癌手术缺损患者98例分成对照组和观察组,各49例。对照组应用胸大肌皮瓣修复,观察组应用前臂皮瓣修复,比较两组患者修复的成功率和患者的满意度。结果对照组患者修复成功率为93.9%、观察组患者修复成功率为91.8%,两组比较差异无统计学意义(P>0.05);对照组患者的满意度为83.7%、观察组患者的满意度为87.8%,两组比较差异无统计学意义(P>0.05)。结论口腔癌手术缺损应用胸大肌皮瓣与前臂皮瓣均能够达到满意的修复效果,均能够达到满意的修复效果,均是修复口腔癌缺损、恢复理想的功能和外观的治疗方法 ,均具有临床应用的价值。
Objective To compare the effect of repairing the skin flap of pectoralis major and forearm flap in the surgical treatment of oral cancer. Methods According to the digital table method, 98 cases of oral cancer patients with surgical defect were divided into control group and observation group, 49 cases each. The control group was treated with the pectoralis major muscle flap, and the forearm flap was used in the observation group. The success rate of repair and patient satisfaction were compared between the two groups. Results The success rate of repair was 93.9% in the control group and 91.8% in the observation group, with no significant difference between the two groups (P> 0.05). The satisfaction of the control group was 83.7%, and the satisfaction of the observation group Degree was 87.8%, no significant difference between the two groups (P> 0.05). Conclusion The application of pectoralis major flap and forearm flap to the surgical treatment of oral cancer can achieve satisfactory rehabilitative effect and both of them can achieve satisfactory rehabilitative effect. All of them are the treatment methods to repair the defect of oral cavity and restore the ideal function and appearance. The value of clinical application.