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目的探讨口腔颌面部恶性肿瘤患者术后软组织缺损的修复方法及临床效果。方法从2005—2009年治疗的32例恶性肿瘤患者,若术中冰冻切片证实无颈淋巴结转移,同期行胸锁乳突肌肌皮瓣修复,若术中冰冻切片证实有颈淋巴结转移,同期行胸大肌肌皮瓣修复。结果术后面部外形恢复满意,29例皮瓣一期成活,3例皮瓣二期成活。随访1～4年,30例术后无复发或转移,1例术后复发,肝转移死亡,1例术后全身骨转移死亡。结论口腔颌面部恶性肿瘤切除后,同期行胸锁乳突肌肌皮瓣修复或胸大肌肌皮瓣修复软组织缺损的修复提高了患者的生存质量。
Objective To investigate the methods and clinical effects of postoperative soft tissue defect repair in patients with oral and maxillofacial malignant tumors. Methods 32 cases of malignant tumor treated from 2005 to 2009, if intraoperative frozen section confirmed no cervical lymph node metastasis, sternocleidomastoid myocutaneous flap repair, if the intraoperative frozen section confirmed cervical lymph node metastasis, the same line Pectoralis major myocutaneous flap repair. Results The appearance of the facial was restored satisfactorily. Twenty-nine flaps survived in one stage and three flaps survived in the second stage. All cases were followed up for 1 to 4 years. No recurrence or metastasis was found in 30 cases, one case had recurrence after operation, and liver metastasis and death occurred in one case. Conclusion After the resection of oral and maxillofacial malignant tumors, the repair of soft tissue defect by sternocleidomastoid myocutaneous flap repair or pectoralis major myocutaneous flap repair improves the quality of life of patients.