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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2019年10期

页码:

37-40

栏目:

出版日期:

2019-10-05

文章信息/Info

Title:

Application of Platysma Musculocutaneous Flap in the Repair of Maxillofacial Trauma

文章编号:

1008-6455（2019）10-0037-04

作者:

刘 莉¹; 刘宏超²

Author(s):

LIU Li¹; LIU Hong-chao²

关键词:

[关键词]颈阔肌肌皮瓣; 股前外侧肌皮瓣; 颌面部创伤; 创面修复

Keywords:

 ; Key words: platysma musculocutaneous flap;  anterior lateral musculocutaneous flap;  maxillofacial trauma;  wound repair

分类号:

R622

文献标志码:

A

摘要:

[摘要]目的：研究颈阔肌肌皮瓣在颌面部创伤修复中的应用。方法：回顾性分析笔者医院2015年6月-2017年12月收治的125
例颌面部创伤修复患者的临床资料，将采取颈阔肌肌皮瓣修复的63例患者设为研究组，62例进行股前外侧肌皮瓣修复的患者
设为对照组。比较两组手术时间、术中出血量、住院时间、供区创面愈合时间、受区创面愈合时间、颌面部功能评分及并发
症发生率。结果：研究组的手术时间、术中出血量、供区创面愈合时间显著低于对照组，差异均有统计学意义(P ＜0.01)；
两组住院时间、受区创面愈合时间比较，差异均无统计学意义(P ＞0.05)。研究组颌面部功能总分为（58.47±9.91）分显著
高于对照组的（52.31±9.35）分，差异具有统计学意义(P ＜0.01)。研究组皮瓣坏死率为3.17%，显著低于对照组的11.29%；
研究组并发症发生率为12.70%，显著低于对照组的24.19%，差异均有统计学意义(P ＜0.05)。结论：采取颈阔肌肌皮瓣对颌面
部创伤进行修复，能够显著降低术中风险，提高颌面部预后功能，减少并发症，临床可根据患者具体情况灵活实施。

Abstract:

Abstract: Objective To study the application of platysma musculocutaneous flap in the repair of maxillofacial trauma.
Methods Clinical medical records of 125 patients with maxillofacial trauma repair treated in our hospital from June 2015
to December 2017 were retrospectively analyzed, and 63 patients who treated with platysma musculocutaneous flap repair
were set as the study group. 62 patients with anterior femoral musculocutaneous flap repair were set as the control group. The
operation time, intraoperative blood loss, hospitalization time, donor wound healing time, wound healing time, maxillofacial
function score and complication rate were compared between the two groups. Results The operation time, intraoperative blood
loss, and wound healing time of the donor group in the study group were significantly lower than those in the control group, and
the differences were statistically significant (P＜0.01). There was no significant difference in the length of hospital stay and wound
healing time between the two groups (P ＞0.05). The total score of maxillofacial function in the study group was (58.47±9.91)
significantly higher than that in the control group (52.31±9.35, P＜0.01). The skin flap necrosis rate of the study group was 3.17%,
which was significantly lower than that of the control group (11.29%). The complication rate of the study group was 12.70%, which
was significantly lower than that of the control group (24.9%). The differences were statistically significant (P＜0.05). Conclusion
Repairing the maxillofacial trauma with the platysma musculocutaneous flap can significantly reduce the intraoperative risk,
improve the prognostic function of the maxillofacial region, and reduce complications. The clinical practice can be flexibly
implemented according to the specific conditions of the patient.

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更新日期/Last Update: 2019-11-05