改良胸大肌岛状肌皮瓣与传统皮瓣对舌癌术后修复影响的对比研究

Comparative Study between Modified Pectoralis Major Myocuta-neous Flap and Traditional Flap on Reconstruction of Tongue Cancer Operation

目的：对比研究改良胸大肌岛状肌皮瓣与传统胸大肌岛状肌皮瓣在舌癌连续整块切除术后缺损修复中的的治疗效果。方法：选取2007年08月-2012年01月行舌癌连续整块切除术患者97例，其中49例采用改良胸大肌岛状肌皮瓣，48例采用传统胸大肌岛状肌皮瓣，分别命名为A组和B组，比较两组患者治疗效果和并发症发生情况。结果：A组治疗效果甲级、乙级、丙级分别为65．3％、28．6％、6．1％，B组治疗效果甲级、乙级、丙级分别为41．7％、33．3％、25．0％，A组治疗效果优于B组；A组术后并发症少于B组。结论：与传统胸大肌肌皮瓣相比，改良胸大肌岛状肌皮瓣治疗效果好，并发症少，能更好地实现舌癌连续整块切除术后缺损修复。

Objective： To investigate the treatment effectiveness between modified pectoralis major myocutaneous flap and tradi- tional cleidomastoid flap on reconstruction of operative defects following the block resection of tongue cancer. Methods： 97 tongue can- cer patients were selected from August, 2007 to January, 2012. 49 patients wore treated by modified poctoralis major myoeutanenus flap （group A）, while 48 patients were treated by traditional cleidomastoid flap （group B）. The treatment tfffectiveness and complication bo- twem group A and group B were contrasted. Results： The first rate second rate, third rate of treatment effectiveness in group A were 65.3%, 28.6%, 6.1%. The first rate second rate, third rate of treatment effoctiveness in group B were 41.7%, 33.3%, 25.0%. The treat- melt effectiveness of group A was better than that in group B. The postoperative complications of group A were less than that in group B. Conclusion： In contrast with traditional cleidomastoid flap, modified pectoralis major myocutanenus flap has better treatment effectivo- ness, less postoperative complications, and has better roconstruction after operative defocts following on block resection of tongue cancer.