| 明华伟,何芸,袁宗毅,等.带感觉神经的游离前臂皮瓣修复舌癌术后缺损[J].安徽医药,2025,29(8):1588-1591. |
| 带感觉神经的游离前臂皮瓣修复舌癌术后缺损 |
| Free forearm flap with sensory nerve to repair the postoperative defect of tongue cancer |
| |
| DOI：10.3969/j.issn.1009-6469.2025.08.020 |
| 中文关键词: 舌切除术 游离组织瓣 感觉神经 前臂皮瓣 舌癌 缺损修复 显微外科 |
| 英文关键词: Glossectomy Free tissue flaps Sensory nerve Forearm flap Tongue cancer Defect repair Microsurgical |
| 基金项目:四川省基层卫生事业发展研究中心课题项目( SWFZ20-C-081)；南充市科技局市校科技战略合作项目( 20SXQT0261) |
| 作者 | 单位 | E-mail | | 明华伟 | 川北医学院第二临床医学院、南充市中心医院,口腔颌面外科,四川南充 637000 | | | 何芸 | 川北医学院第二临床医学院、口腔科,四川南充 637000 | | | 袁宗毅 | 川北医学院第二临床医学院、南充市中心医院,口腔颌面外科,四川南充 637000 | | | 张兴安 | 川北医学院第二临床医学院、南充市中心医院,口腔颌面外科,四川南充 637000 | | | 贾佳欣 | 川北医学院第二临床医学院、南充市中心医院,口腔颌面外科,四川南充 637000 | | | 王华东 | 川北医学院第二临床医学院、南充市中心医院,口腔颌面外科,四川南充 637000 | | | 陈方园 | 川北医学院第二临床医学院、南充市中心医院,口腔颌面外科,四川南充 637000 | | | 谭小尧 | 川北医学院第二临床医学院、南充市中心医院,口腔颌面外科,四川南充 637000 | txy92017@aliyun.com |
|
| 摘要点击次数: 687 |
| 全文下载次数: 266 |
| 中文摘要: |
| 目的探讨带感觉神经的游离前臂皮瓣修复舌癌术后缺损的临床效果。方法选取 2020年 1月至 2021年 12月在南充市中心医院口腔颌面外科采用带感觉神经的游离前臂皮瓣修复方法手术治疗的舌癌病人 11例，术中根据原发灶切除后的舌体缺损大小设计皮瓣，制备皮瓣的同时携带前臂外侧皮神经。组织瓣移植至受区修复舌缺损，借助手术显微镜完成供、受区动静脉及感觉神经端端吻合，供区创面采用腹部游离皮片移植关闭创面。术后随访 6~24个月，评价其临床效果。结果 11例病人术后皮瓣全部成活，舌体外形不臃肿，皮瓣色泽、质地良好，吞咽、言语功能较为满意，皮瓣感觉恢复 S0级 1例， S1级 3例， S2级 4例， S3级 2例， S3+级 1例，无皮瓣溃疡发生。其中 1例供区发生创口感染导致腹部游离皮片坏死，清创后经换药处理，创面愈合良好，无手指功能运动障碍。结论应用带感觉神经的游离前臂皮瓣修复舌癌术后缺损，外形及功能恢复良好，能恢复游离皮瓣部分感觉功能。 |
| 英文摘要: |
| Objective To investigate the clinical effect of free forearm flap with sensory nerve in repairing postoperative defects of tongue cancer.Methods Eleven patients with tongue cancer treated with free forearm flap with sensory nerve in Department of Oraland Maxillofacial Surgery, Nanchong Central Hospital from January 2020 to December 2021 were selected. During the operation, theflap was designed according to the size of the tongue defect after primary lesion resection, and the lateral forearm cutaneous nerve wascarried when preparing the flap. The tissue flap was transplanted to the recipient site to repair the tongue defect, and the end-to-end anastomosis of artery, vein and sensory nerve was completed with the help of operating microscope. The wound in the donor site wasclosed with abdominal free skin graft. The patients were followed up for 6 to 24 months to evaluate the clinical effect.Results All flapsof 11 patients survived, tongue shape was not bloated, skin flap color and texture were good, swallowing and speech function were satis-factory, skin flap sensation recovered to grade S0 in 1 case, grade S 1 in 3 cases, grade S 2 in 4 cases, grade S 3 in 2 cases, grade S 3+ in 1 case, no skin flap ulcer occurred. One patient had wound infection at the donor site, which resulted in necrosis of abdominal free skingraft. After debridement and dressing change, the wound healed well without finger dysfunction.Conclusions The free forearm flapwith sensory nerve can be used to repair the postoperative defect of tongue cancer. The appearance and function of the flap can be re-covered well, and partial sensory function of free flap can be restored. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
