颏下岛状瓣与前臂游离皮瓣修复颌面部外伤软组织缺损对比分析研究<br />-《中国美容医学》

文章信息/Info

Title:: Application of Submental Island Flap Repair in Maxillofacial Traumatic
Soft Tissue Defects

文章编号:: 1008-6455(2021)06-0154-03

作者:: 时荣新¹; 张艳萍²; 刘恒林¹; 杨锋¹

Author(s):: SHI Rong-xin1; ZHANG Yan-ping2; LIU Heng-lin1; YANG Feng1

关键词:: [关键词]颏下岛状皮瓣; 颌面软组织缺损; 游离皮瓣; 临床效果

Keywords:: Key words: submental island flap; maxillofacial soft tissue defect; free flap; clinical effect

分类号:: R782.2

文献标志码:: A

摘要:: [摘要]目的：研究颏下岛状皮瓣（Submental island flap,SIF）与前臂游离皮瓣（Radialis forearm free flaps,RFFF）
修复颌面部外伤软组织缺损并进行对比分析。方法：回顾性分析2014年3月-2019年6月笔者医院收治的84例颌面外伤性软组
织缺损患者资料，根据手术方式不同分为RFFF组和SIF组，比较两组修复成功率、切口一期愈合率、手术操作时间、住院时
间、术后生活质量和修复满意度，记录两组患者并发症发生情况。结果：SIF组的修复成功率、切口一期愈合率均高于RFFF
组（P ＜0.05）；SIF组的手术操作时间、住院时间均少于RFFF组（P ＜0.05）；SIF组的吞咽、咀嚼、语言表达、味觉、进
食、情绪和娱乐等评分均优于RFFF组（P ＜0.05）；SIF组的修复满意度为93.18%，高于RFFF组的77.50%（P ＜0.05）；SIF组
术后并发症总发生率为4.54%，低于RFFF组的20.00%（P＜0.05）。结论：SIF修复法在颌面部外伤性软组织缺损中的应用效
果良好，修复成功率、切口一期愈合率高，手术操作时间、住院时间短，术后生活质量较好，患者满意度高，安全性好，对
颌面外伤性软组织缺损的临床治疗有重要意义。

Abstract:: Abstract: Objective To study the comparative analysis of submental island flap (SIF) repair and radial forearm free flap (RFFF)
repair in maxillofacial traumatic soft tissue defects. Methods A retrospective analysis was performed on the 84 patients with
maxillofacial traumatic soft tissue defects who were admitted from March 2014 to June 2019. According to different surgical
methods, they were divided into RFFF group and SIF group. The success rate of repair, healing rate of stage-I incision,
operation time, hospitalization time, postoperative quality of life and repair satisfaction were compared between the two
groups. The occurrence of complications in both groups was recorded. Results The success rate of repair and healing rate of
stage-I incision in SIF group were higher than those in RFFF group (P ＜0.05), operation time and hospitalization time were
shorter than those in RFFF group (P ＜0.05), and scores of swallowing, chewing, language expression, taste, eating, mood and
entertainment were all higher than those in RFFF group (P ＜0.05). The repair satisfaction in SIF group was higher than that
in RFFF group (93.18% vs 77.50%) (P ＜0.05), while total incidence of postoperative complications was lower than that in
RFFF group (4.54% vs 20.00%) (P ＜0.05). Conclusion The application effect of SIF repair is good in maxillofacial traumatic
soft tissue defects, with high success rate of repair and healing rate of stage-I incision, short operation time and hospitalization
time, good postoperative quality of life, high patient satisfaction and safety. it is of great significance in the clinical treatment of
maxillofacial traumatic soft tissue defects.

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

文章信息/Info

常用功能

导航/Navigate

工具/Tools

统计/Statistics