本文選題：股深動脈 + 嵌合穿支肌皮瓣��； 參考：《中國修復(fù)重建外科雜志》2017年06期

【摘要】：目的探討不同形式游離股深動脈蒂嵌合穿支肌皮瓣的臨床解剖及其在舌癌術(shù)后缺損修復(fù)中的應(yīng)用。方法 2011年4月—2016年1月,采用不同形式股深動脈蒂嵌合穿支肌皮瓣修復(fù)44例舌癌術(shù)后缺損。男40例,女4例;年齡32~71歲,平均46.3歲。原發(fā)舌緣24例,舌腹17例,口底癌累及舌3例。病理類型均為鱗狀細胞癌;按國際抗癌聯(lián)盟(UICC)TNM分期:T4N0M0 16例,T4N1M0 11例,T3N1M0 9例,T3N2M0 8例。病程1~22個月,平均8.6個月。皮瓣切取范圍為8.5 cm×4.0 cm~12.0 cm×6.5 cm,肌瓣切取范圍為4.0 cm×3.0 cm~7.5 cm×5.0 cm。其中11例采用游離股深動脈蒂嵌合穿支大收肌肌皮瓣,大收肌穿支血管蒂長度為(8.3±0.5)cm;33例采用游離股深動脈蒂嵌合穿支股薄肌肌皮瓣,股薄肌穿支血管蒂長度為(8.1±0.8)cm。大腿內(nèi)側(cè)供區(qū)均直接拉攏縫合。結(jié)果術(shù)后游離股深動脈蒂嵌合穿支肌皮瓣均順利成活,創(chuàng)面Ⅰ期愈合;供區(qū)切口均Ⅰ期愈合。所有患者均獲隨訪,隨訪時間12~40個月,平均23.8個月。所有患者再造舌形態(tài)良好,舌體活動可,吞咽和語言功能恢復(fù)滿意,無1例腫瘤局部復(fù)發(fā)。大腿內(nèi)側(cè)瘢痕位置隱蔽,僅遺留線狀瘢痕。結(jié)論游離股深動脈蒂嵌合穿支肌皮瓣可以以不同形式切取,適用于舌癌術(shù)后缺損修復(fù)。
[Abstract]:Objective to investigate the clinical anatomy of different types of free deep femoral artery pedicled perforator myocutaneous flap and its application in repairing defects after tongue cancer operation. Methods from April 2011 to January 2016, 44 cases of tongue carcinoma were repaired with different types of deep femoral artery pedicle perforator myocutaneous flap. There were 40 males and 4 females, aged 32 to 71 years (mean 46.3 years). There were 24 cases with primary tongue margin, 17 cases with ventral tongue and 3 cases with carcinoma of the floor of mouth. All the pathological types were squamous cell carcinoma, according to the TNM stage of UICC TNM, 16 cases of T4N0M0, 11 cases of T4N1M0 11 cases of T3N1M0 9 cases of T3N2M0 8 cases. The course of disease ranged from 1 to 22 months with an average of 8.6 months. The range of flap removal was 8.5 cm 脳 4.0 cm~12.0 cm 脳 6.5 cm, and that of muscle flap was 4.0 cm 脳 3.0 cm~7.5 cm 脳 5.0 cm. Among them, 11 cases were treated with free deep femoral artery pedicle with chimeric perforator great adductor myocutaneous flap, 33 cases were treated with free deep femoral artery pedicle chimeric perforator myocutaneous flap, and the length of perforator vessel pedicle of thin femoral muscle was 8.1 鹵0.8 cm. The medial thigh donor area was closed and sutured directly. Results the free deep femoral artery pedicle chimeric perforator myocutaneous flap survived successfully, and the wound healed at stage 鈪，

本文編號：1934594