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目的:探讨三种皮瓣在口腔面部组织缺损修复中的临床效果。方法:以2014年1月到2014年12月在我院皮瓣修复口腔面部组织缺损患者64例为研究对象。胸大肌皮瓣26例,前臂皮瓣22例,股前外侧皮瓣16例。术后3~12月对患者临床疗效进行观察评价。结果:患者均采用胸大肌皮瓣、股前外侧皮瓣和前臂皮瓣进行口腔面部组织缺损的修复,不同皮瓣来源数量组间比较差异均无统计学意义(P>0.05)。患者术后均治愈,移植成功率100%,组间比较差异无统计学意义(P>0.05)。少数患者发生积血、感染不良反应情况,总不良反应发生率为12.5%,不同组间的不良反应发生率比较差异无统计学意义(P>0.05)。结论:三种不同的皮瓣修复口腔面部组织缺损临床效果均较好,皮瓣的选择较广泛,显著改善了患者口腔生理功能,提高了患者的生活质量,临床推广使用价值高。
Objective: To investigate the clinical effect of three kinds of flaps in the repair of oral facial tissue defects. Methods: From January 2014 to December 2014, 64 cases of oral facial tissue defect repaired in our hospital were studied. 26 cases of pectoralis major muscle flap, 22 cases of forearm flaps and 16 cases of anterolateral skin flap. The clinical efficacy of the patients was observed and evaluated after 3 ~ 12 months. Results: Pectoralis major myocutaneous flap, anterolateral thigh flap and forearm flap were used to repair the oral facial tissue defects. There was no significant difference in the number of different skin flap between the two groups (P> 0.05). The patients were cured after operation, the success rate of transplantation was 100%, there was no significant difference between the two groups (P> 0.05). A small number of patients with hemorrhage, adverse reactions of infection, the overall incidence of adverse reactions was 12.5%, the incidence of adverse reactions between different groups was no significant difference (P> 0.05). CONCLUSION: Three different skin flaps are effective in repairing oral facial tissue defects. The flap selection is more extensive, which significantly improves the patient’s oral physiological function, improves the quality of life of the patients and has high clinical value.