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论文摘要

带血管蒂小腿外侧皮瓣游离移植修复口腔颌面软组织缺损的临床研究

The Utility of Vascularized Free Peroneal Flap in Oral Maxillofacial Reconstruction

作者:谢春,温玉明,李龙江,贾巍

Author:XIE Chun,WENYu-ming,LILong- jiang,JIA Wei

收稿日期:2004-04-25          年卷(期)页码:2004,22(02):117-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:血管吻合,游离皮瓣,修复重建,

Key words:reconstruction,free flap,anastomosis,

基金项目:

中文摘要

目的 评价带血管蒂小腿外侧皮瓣游离移植修复口腔颌面软组织缺损的临床应用价值。方法 1999年 11月~2002年12月对21例口腔颌面部肿瘤患者应用小腿外侧皮瓣游离移植修复其术后软组织缺损。手术采用血管吻合。其中7例为携带肌肉的肌皮瓣移植。采用游离小腿外侧皮瓣,最大12 cm×8 cm,最小5·0 cm×3·5 cm。结果 术后皮瓣20例成活,1例皮瓣坏死,皮瓣成活率为95·24%。术后19例颌面部外形恢复及张闭口语音功能达到满意或较为满意,1例因皮瓣面积不足,外形恢复欠佳。结论 带血管蒂的游离小腿外侧皮瓣具有血管蒂长、管径粗、组织量大、成活率高、供区隐蔽等优点,是口腔颌面部软组织缺损修复重建的最佳方法之一。

英文摘要

Objective The purpose of this study was to evaluate the advantages and disadvantages of vascularized free pero- neal flap as a newmethod for reconstruction of oral and maxillofacial defects.Methods Twenty-one cases received reconstruction of oral and maxillofacial defectswith free vascularized peroneal flaps in our hospitalwere studied retrospectively. All of the relevant data of operation, such as the cause of the defect, design of the flaps, the recipient vessels of the recipient and the complications were investigated.Results Twenty cases survived, the average size of the vascularized free peroneal flapwas 8·5 cm×5·25 cm. Conclusion It is safe and reliable to use free peroneal flap to reconstruct the oral maxillofacial defects.

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