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本文报道用60个舌骨下肌群肌皮瓣,在原修复舌癌根治术后舌缺损获得成功的基础上,进一步改进修复方法,对44例(48个瓣)舌癌和12例其它头颈部恶性肿瘤根治术后缺损进行立即修复。术后肌皮瓣成活率为87％(52/60)。未发生口皮肤瘘。42例舌癌患者于术后1.5月内口进半流质。80％患者术后说话清楚可辨。文中对此肌皮瓣的优点和手术改进要点作了讨论。
This article reports the use of 60 hypoglossal myocutaneous myocutaneous flaps in the repair of tongue cancer after radical resection of tongue defects on the basis of success, to further improve the repair method, 44 cases (48 valves) tongue cancer and 12 other head and neck Department of malignant tumor after radical repair of the defect immediately. The survival rate of myocutaneous flap was 87% (52/60). No oral fistula occurred. 42 cases of tongue cancer patients in the first 1.5 months after the mouth into the semi-liquid. 80% of patients speak clearly and legibly. In this paper, the advantages of muscle myocutaneous flap and the main points of surgery are discussed.