带蒂胸大肌肌皮瓣修复晚期舌癌根治术后缺损——附7例报告

Repair of large defect caused by radical surgery of advanced tongue cancer with the pectoralis major myocutaneous flap——a report of 7 cases

目的:探讨带蒂胸大肌肌皮瓣修复晚期舌癌根治术后软组织大面积缺损的临床效果。方法:对7例晚期舌癌患者行全舌切除的舌癌联合根治术,在此同时制备以胸肩峰动静脉为血管蒂的胸大肌肌皮瓣,行全舌及口底的大面积软组织缺损修复术。结果:7例患者术后均恢复良好,皮瓣全部成活。术后半年内癌肿局部复发死亡2例,其余5例随访至撰稿日未见复发,语言功能和吞咽功能恢复良好,无1例发生误吸。5例患者均对术后舌修复的外观及功能满意。结论:带蒂胸大肌肌皮瓣同期修复晚期舌癌术后的全舌及口底软组织缺损安全、可靠,再造舌的形态及功能均可达到满意效果。

Objective： To study the clinical effect of repairing of large defect caused by radical surgery of advanced tongue cancer with the pectoralis major mvocutaneous flap. Methods： Seven patients with advanced tongue carcinoma were tread with radical surgeD＇. At the same time, Seven pectoralis major myocutaneous flaps with pedicle skin flap were prepared and applied for repair of the large soft tissue defects. Results： Seven patients recovered well after operation. All pectoralis major flaps survived well. Two patients died of tumor recurrence in half a year after operation. The others hadn＇t occured tumor recurrence since follow up to the day write the article. The speaking and swallowing functions recovered well. None occurred aspiration. Five patients were satisfied with the appearance and function after reconstructed tongue operation. Conclusion： It is safe and reliable to repair large soft tissue defect in oral region. The reconstructed tongue＇s appearance was satisfactory.