本文選題：口輪匝肌黏膜瓣 + 唇癌��； 參考：《中國皮膚性病學(xué)雜志》2017年07期

【摘要】：目的探討口輪匝肌為蒂肌黏膜瓣在唇癌切除術(shù)后創(chuàng)面修復(fù)中的應(yīng)用。方法切除腫物,根據(jù)缺損的大小逆行設(shè)計蒂在同側(cè)的口輪匝肌黏膜瓣180°旋轉(zhuǎn)修復(fù)創(chuàng)面缺損。結(jié)果唇部腫物擴(kuò)大切除術(shù)后,黏膜缺損最大面積約4.0cm×1.0cm,設(shè)計口輪匝肌為蒂肌黏膜瓣修復(fù)缺損,肌黏膜瓣全部存活,隨訪3~12個月,肌黏膜瓣存活良好,與鄰近唇黏膜無明顯色差,且無明顯并發(fā)癥。結(jié)論腫瘤切除致唇部組織缺損達(dá)到1/3~1/2唇黏膜時,與Abbe瓣相比,以口輪匝肌為蒂肌黏膜瓣修復(fù)唇部缺損,術(shù)后不需二期斷蒂,供區(qū)切口隱蔽,術(shù)后功能及外觀滿意,是唇缺損修復(fù)的一種新方法,值得臨床應(yīng)用。
[Abstract]:Objective to investigate the application of orbicularis oris musculocutaneous flap in wound repair after lip cancer resection. Methods the tumor was resected and the pedicle was designed retrograde according to the size of defect. The flap of orbicularis oris muscularis oris was rotated 180 擄to repair the wound defect. Results the maximum area of mucosal defect was about 4.0cm 脳 1.0 cm after extensive resection of labial mass. The flap of orbicularis oris muscle pedicled with muscle mucosa was designed to repair the defect, and all the musculomucosal flaps survived. Follow up for 3 ~ 12 months showed that the mucosal flap survived well and had no significant color difference from that of adjacent labial mucosa. There were no obvious complications. Conclusion when the lip tissue defect is 1 / 3 / 1 / 2 after tumor resection, compared with the Abbe flap, the orbicularis oris muscle pedicled musculomucosal flap is used to repair the lip defect. There is no need for secondary pedicle break, the donor incision is hidden, and the function and appearance of the flap are satisfactory. It is a new method to repair lip defect and is worthy of clinical application.
【作者單位】： 西安交通大學(xué)第二附屬醫(yī)院皮膚科;
【基金】：院重大科研方向資助計劃[RC(CG)201204]
【分類號】：R739.8;R782.2
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本文編號：1957485