[1]吴文科,胡 革,熊 晔,等.基于皮瓣厚度精确重建次全舌缺损的效果评价[J].中国美容医学,2023,(2):35-38.
　WU Wenke,HU Ge,XIONG Ye,et al.Evaluation of Accurate Reconstruction of Subtotal Tongue Defect Based on Flap Thickness[J].Medical Aesthetics and Beauty,2023,(2):35-38.
点击复制

基于皮瓣厚度精确重建次全舌缺损的效果评价()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年2期
页码:
35-38
栏目:
出版日期:
2023-02-10

文章信息/Info

Title:
Evaluation of Accurate Reconstruction of Subtotal Tongue Defect Based on Flap Thickness
文章编号:
1008-6455(2023)02-0035-04 Evaluation of
作者:
吴文科; 胡 革; 熊 晔; 袁 荣; 熊 蜜; 杨伟丽
(湖南中医药大学第一附属医院耳鼻咽喉头颈外科 湖南 长沙 410000 )
Author(s):
WU Wenke; HU Ge; XIONG Ye; YUAN Rong; XIONG Mi; YANG Weili
(Department of Otolaryngology Head and Neck Surgery,the First Hospital of Hunan University of Chinese Medicine,Changsha 410000,Hunan,China)
关键词:
次全舌重建; 股前外侧皮瓣; 舌癌; 修复; 皮瓣厚度 [
Keywords:
subtotal tongue reconstruction;  anterolateral femoral fl ap;  tongue cancer;  prosthetic;  fl ap thickness
分类号:
R622
文献标志码:
A
摘要:
目的：基于皮瓣厚度精确重建次全舌，并进行临床疗效评价。方法：收集笔者科室2017年6月-2020年9月行次全舌重 建患者资料进行分析，共9例晚期舌鳞癌患者，均采用股前外侧皮瓣进行次全舌重建。依据测量结果估算重建舌体积平均 约120 cm3 ，将重建舌体积分为小于120 cm3 的A组和大于120 cm3 的B组。其中A组患者5例，B组患者4例，采用Likert量表评估 次全舌重建患者的吞咽功能、语言清晰度和美观度。结果：9例患者皮瓣均愈合良好。与A组比较，B组患者术后吞咽功能 （P=0.028）显著改善，语言清晰度（P=0.273）及美观度（P=0.107）无显著差异。结论：基于皮瓣厚度精确重建全舌体 积，可能获得更佳的临床效果，值得临床推广。
Abstract:
Objective To accurately reconstruct the whole tongue based on the thickness of fl ap and evaluate the clinical eff ect. Methods The data of patients who underwent subtotal tongue reconstruction in our department from June 2017 to September 2020 were collected and analyzed.A total of 9 patients with advanced tongue squamous cell carcinoma underwent subtotal tongue reconstruction with anterolateral femoral fl ap.According to the measurement results,the average reconstructed tongue volume was estimated to be about 120 cm3 .The reconstructed tongue body was integrated into group a less than 120 cm3 and group B greater than 120 cm3 .There were 5 patients in group A and 4 patients in group B.Likert scale was used to evaluate the swallowing function,language clarity and aesthetics of patients with subtotal tongue reconstruction. Results The fl aps of 9 patients healed well.Compared with group A,the swallowing function (P=0.028) in group B was signifi cantly improved,and there was no signifi cant diff erence in language clarity (P=0.273) and aesthetics (P=0.107). Conclusion Accurate reconstruction of total tongue volume based on fl ap thickness may obtain better clinical eff ect and is worthy of clinical promotion.

相似文献/References:

[1]潘韦行,严 芳,周 敏. 腹股沟皮瓣在手及前臂烧伤遗留瘢痕切除后创面修复中的应用[J].中国美容医学,2019,(09):53.
　PAN Wei-xing,YAN Fang,ZHOU Min. Application of Inguinal Flap in the Repair of Wound after Scar Excision from Hand and Forearm Burns[J].Medical Aesthetics and Beauty,2019,(2):53.
[2] 廖宗生,巫家晓,毛远科,等. 股前外侧皮瓣移植修复口腔颌面部恶性肿瘤切除后组织缺损疗效研究[J].中国美容医学,2021,(6):151.
　 LIAO Zong-sheng,WU Jia-xiao,MAO Yuan-ke,et al. Clinical Effect of Anterolateral Thigh Flap Transplantation in Repairing Tissue Defectafter Resection of Malignant Tumor in Oral and Maxillofacial Area[J].Medical Aesthetics and Beauty,2021,(2):151.
[3]沈 锂,谭 智,青 海,等.数字化技术设计股前外侧皮瓣在修复重建颌面部缺损中的应用效果[J].中国美容医学,2022,(2):82.
　SHEN Li,TAN Zhi,QING Hai,et al.Application of Repair and Reconstruction of Maxillofacial Defect with Anterolateral Thigh Flap Designed by Digital Technique[J].Medical Aesthetics and Beauty,2022,(2):82.
[4]朱郁文,姚 建,黄宏伟,等.股前外侧皮瓣在口腔颌面部肿瘤术后缺损修复中的应用效果研究[J].中国美容医学,2022,(11):102.
　ZHU Yuwen,YAO Jian,HUANG Hongwei,et al.Study on Application Effects of Anterolateral Thigh Flap in Reconstruction of Oral and Maxillofacial Defects after Tumor Operation[J].Medical Aesthetics and Beauty,2022,(2):102.
[5]杨 辰,王振中,刘 路,等.应用横行切口进行端侧吻合的股前外侧皮瓣修复四肢大关节周围软组织缺损[J].中国美容医学,2023,(2):56.
　YANG Chen,WANG Zhenzhong,LIU Lu,et al.Clinical Effect of Anterolateral Thigh Flap with End to Side Anastomosis Through Transverse Incision in Repairing Soft Tissue Defects Around Large Joints of Extremities[J].Medical Aesthetics and Beauty,2023,(2):56.
[6]刘 喆,刘 敏,葛苏蒙,等.游离前臂皮瓣与股前外侧皮瓣修复口腔癌术后缺损的疗效及对伤口美观度的影响[J].中国美容医学,2023,(12):74.[doi:10.15909/j.cnki.cn61-1347/r.006033]
　LIU Zhe,LIU Min,GE Sumeng,et al.Effect of Free Forearm Flap and Anterolateral Thigh Flap on Defect Repair after Oral Cancer Surgery and Its Infl uence on Wound Aesthetics[J].Medical Aesthetics and Beauty,2023,(2):74.[doi:10.15909/j.cnki.cn61-1347/r.006033]
[7]林 琛,张希龙,邓向东,等.股前外侧皮瓣在头面部较大软组织缺损修复中的应用[J].中国美容医学,2024,(5):21.
　LIN Chen,ZHANG Xilong,DENG Xiangdong,et al.Application of Anterolateral Thigh Flap in Repairing Large Soft Tissue Defects of Head and Face[J].Medical Aesthetics and Beauty,2024,(2):21.

更新日期/Last Update: 2023-03-06