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目的探讨保留胸大肌功能的改良胸大肌肌皮瓣修复晚期腮腺癌术后缺损的方法。方法根据胸大肌肌皮瓣的解剖学特点设计皮岛,将胸大肌肌皮瓣的血管蒂完全解剖出来而不携带肌肉,使肌皮瓣成为名副其实的岛状瓣,从而完整保留了胸大肌的锁骨部分以及胸大肌外侧大部分肌纤维。结果 2005至2011年采用该方法制作改良胸大肌肌皮瓣15例修复晚期腮腺癌术后缺损。术后皮瓣全部成活,术后随访患者功能外形恢复良好。结论保留胸大肌功能的改良胸大肌肌皮瓣修复晚期腮腺癌术后缺损可获得良好临床效果。
Objective To investigate the method of repairing the postoperative defect of parotid adenocarcinoma with modified pectoralis major myocutaneous flap, which preserves the function of pectoralis major. Methods According to the anatomic characteristics of the pectoralis major myocutaneous flap, the pterygium was designed. The patella of the pectoralis major myocutaneous flap was completely dissected without muscle. The myocutaneous flap became a veritable island flap, which completely preserved the chest Major part of the clavicle and pectoralis major lateral muscle fibers. Results From 2005 to 2011, 15 cases of modified pectoralis major myocutaneous flap were made by this method to repair postoperative parotid gland carcinoma postoperative defect. The flaps all survived, and the postoperative follow-up of patients with functional shape recovered well. Conclusions The modified pectoralis major myocutaneous flap with pectoralis major function can be used to repair the postoperative parotid gland carcinoma postoperative defect.