前臂皮瓣与胸大肌皮瓣在口腔癌手术缺损修复中的应用

Clinical Efficacy of Radial Forearm Free Flap and Pectoralis Major Myocutaneous Flap in Oral Cancer Reconstruction

目的：分析前臂皮瓣与胸大肌皮瓣在口腔癌手术缺损修复中的应用，探讨其在临床上的应用效果。方法：选取我院2008年10月-2012年11月收治的84例在口腔癌根治性切除术后接受口腔癌手术缺损修复的患者，根据移植部位不同分为前臂组和胸大肌组，每组各42例。前臂组和胸大肌组分别采用前臂桡侧皮瓣、胸大肌皮瓣修复口腔癌术后口腔颌面部缺损，术后观察比较两组患者的皮瓣成活率、并发症及外形恢复情况。结果：前臂组患者的皮瓣成活率与胸大肌组比较不存在显著差异（P〉0.05），两组皆发生不同程度的并发症及外形恢复问题（P〉0.05），但均未对正常的生活造成严重的影响。结论：在口腔癌手术缺损修复中采用前臂皮瓣与胸大肌皮瓣效果较好，适用于不同的缺损类型，均在临床上值得推广。

Objective：Analysis the clinical efficacy of radial forearm free flap and pectoralis major myocutaneous flap in oral cancer reconstruction, to investigate the clinical efficacy.Methods：84 patients accepted oral cancer reconstruction after oral cancer radical resection that admitted in our hospital from October 2008 to November 2012 were divided into the radial forearm free flap groups and the pectoralis major myocutaneous flap group according to the transplantation site, n=42 cases. The radial forearm free flap groups and the pectoralis major myocutaneous flap group were used radial forearm free flap and, pectoralis major myocutaneous flap to repaired the oral and maxillofacial defect, postoperative observation compared two groups of patients, complications, the situation of shape recovery and the survival rate of flaps.Results：The survival rate of flaps of the radial forearm free flap groups compared with the pectoralis major myocutaneous flap group there is no significant difference （P〉0.05）, both groups have the varying degrees of complications, shape recovery problems（P〉0.05）, but are not severely affected normal life.Conclusion：Both radial forearm free flap and pectoralis major myocutaneous flap show a good effect in oral cancer reconstruction, suitable for different defect types, worthy of clinical application.