本文選題：頦下島狀肌皮瓣　切入點：舌癌　出處：《河北醫(yī)科大學》2017年碩士論文　論文類型：學位論文

【摘要】：目的:檢測評價患者術后3個月、術后1年的吞咽功能變化,探討頦下島狀肌皮瓣在舌癌術后組織缺損重建中的臨床應用。方法:收集2014年12月至2015年12月間在河北醫(yī)科大學第四醫(yī)院口腔科住院治療的14例舌癌根治術后采用頦下島狀肌皮瓣行舌缺損修復重建的病例資料,所有患者行舌癌根治術后即刻采用頦下島狀肌皮瓣轉移修復舌缺損。對術后3個月、術后1年的吞咽功能進行評分,通過GUSS吞咽功能評估表對患者修復后的吞咽功能進行評價。采用SPSS21.0軟件,對術后3個月和術后1年的吞咽功能指標評分進行t檢驗,P0.05為差異有統(tǒng)計學意義。結果:14例頦下島狀肌皮瓣轉移修復舌缺損術后,皮瓣壞死者0例,皮瓣成活率100%。術后3個月吞咽功能平均評分為14.31±0.57,GUSS評價示有些吞咽困難;術后1年吞咽功能平均評分為18.08±0.52,GUSS評價示輕微吞咽困難。經配對t檢驗,術后3個月的吞咽功能評分與術后1年比較,差異有統(tǒng)計學意義(t=4.864,P0.001)。結論:應用頦下島狀肌皮瓣修復重建舌缺損能基本恢復舌癌術后患者的吞咽功能,在一定程度上滿足舌缺損修復重建的臨床需要,其應用價值仍可進一步拓展。
[Abstract]:Objective: to evaluate the changes of swallowing function in 3 months and 1 year after operation. To investigate the clinical application of submental island myocutaneous flap in reconstruction of tissue defect after tongue cancer operation methods: from December 2014 to December 2015, 14 cases of tongue cancer were collected after radical mastectomy in Department of Stomatology, 4th Hospital of Hebei Medical University. Cases of tongue reconstruction with submental island myocutaneous flap, Tongue defect was repaired by submental island myocutaneous flap transfer immediately after radical resection of tongue cancer. The swallowing function of the patients was evaluated by GUSS swallowing function evaluation table. SPSS21.0 software was used to evaluate the swallowing function of the patients. There was a significant difference in the score of swallowing function between 3 months after operation and 1 year after operation. Results 14 cases of submental island myocutaneous flap were transferred to repair tongue defect, and there were 0 cases of flap necrosis. The average score of swallowing function was 14.31 鹵0.57g USS at 3 months after operation and slightly dysphagia by paired t test. The score of swallowing function in 3 months after operation was significantly different from that in 1 year after operation. Conclusion: the reconstruction of tongue defect with submental island myocutaneous flap can basically restore the swallowing function of patients with tongue cancer after operation. To a certain extent, it can meet the clinical needs of tongue defect repair and reconstruction, and its application value can be further expanded.
【學位授予單位】：河北醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R739.86

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