旋髂淺動脈穿支皮瓣修復(fù)頰癌術(shù)后缺損的臨床應(yīng)用
發(fā)布時間:2018-06-29 00:12
本文選題:旋髂淺動脈 + 穿支皮瓣 ; 參考:《口腔醫(yī)學(xué)研究》2017年09期
【摘要】:目的:探討旋髂淺動脈穿支皮瓣修復(fù)頰癌根治術(shù)后頰部缺損的臨床效果。方法:2014年1月~2014年6月,修復(fù)6例頰癌根治術(shù)后頰部缺損,所有患者術(shù)前均進行CT血管造影及彩色多普勒超聲檢查。結(jié)果:皮瓣面積30~63cm2,動脈管徑0.6mm,靜脈管徑1.1mm,動靜脈血管蒂分別為6.9cm和7.3cm,6例皮瓣全部成活,術(shù)后頰部形態(tài)良好,張口正常。結(jié)論:旋髂淺動脈穿支皮瓣質(zhì)地柔軟,穿支血管蒂較長,供區(qū)瘢痕隱蔽患者術(shù)后頰部外形豐滿,張口功能恢復(fù)良好,是修復(fù)頰癌術(shù)后缺損的良好選擇。
[Abstract]:Objective: to investigate the clinical effect of perforating branch flap of superficial iliac circumflex artery in repairing buccal defect after radical resection of buccal carcinoma. Methods: from January 2014 to June 2014, 6 cases of buccal defect were repaired after radical resection of buccal carcinoma. All patients were examined by CT angiography and color Doppler ultrasound before operation. Results: the flap area was 30 ~ 63 cm ~ 2, the diameter of artery was 0.6 mm, the diameter of vein was 1.1 mm. The vascular pedicle of arteriovenous was 6.9cm and 7.3 cm ~ (-1) respectively. Conclusion: the perforating branch flap of superficial iliac circumflex artery is soft, the pedicle of perforating branch is longer, the shape of buccal part is plump and the function of mouth opening is good in patients with concealed scar in donor area, which is a good choice for repairing the defect of buccal carcinoma after operation.
【作者單位】: 上海交通大學(xué)醫(yī)學(xué)院附屬第九人民醫(yī)院.口腔-頭頸腫瘤科上海市口腔醫(yī)學(xué)重點實驗室/上海市口腔醫(yī)學(xué)研究所國家口腔疾病臨床研究中心;上海交通大學(xué)醫(yī)學(xué)院附屬第九人民醫(yī)院超聲診斷科;上海交通大學(xué)醫(yī)學(xué)院附屬第九人民醫(yī)院放射科;上海交通大學(xué)醫(yī)學(xué)院附屬第九人民醫(yī)院整形外科;
【基金】:國家自然科學(xué)基金(編號:81772870、81271112、81472517) 上海市浦江人才計劃(編號:15PJD024) 上海市人才發(fā)展資助項目(編號:201312) 上海交通大學(xué)晨星學(xué)者"A"類及"B"類計劃
【分類號】:R739.8
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