%0 Journal Article
%T 旋髂浅动脉穿支皮瓣在口腔癌术后修复中的应用研究<br>Application of superficial circumflex iliac artery perforator flap in reconstruction after radical surgery of oral cancer
%A 何悦 金淑芳 方早 田卓炜 邱蔚六 章一新 冯少清 陶晓峰 周辉红 张志愿&lt
%A br&gt
%A HE Yue
%A JIN Shu-fang
%A FANG Zao
%A TIAN Zhuo-wei
%A QIU Wei-liu
%A ZHANG Yi-xin
%A FENG Shao-qing
%A TAO Xiao-feng
%A ZHOU Hui-hong
%A ZHANG Zhi-yuan
%J 上海交通大学学报（医学版）
%D 2016
%R 10.3969/j.issn.1674-8115.2016.08.013
%X 目的·探讨旋髂浅动脉穿支（SCIP）皮瓣的影像学、解剖学及其在口腔癌术后修复中的临床应用。方法·采用SCIP皮瓣修复15例口腔癌根治术后缺损。所有患者术前均进行CT血管造影、彩色多普勒超声和/或磁共振血管造影检查。术中进行穿支皮瓣的血管解剖，受区缺损重建，对术后受、供区功能恢复进行评价。术后随访2～10个月。结果·切取的SCIP皮瓣平均面积为（46±22） cm2，平均厚度为（1.2±0.3） cm；旋髂浅动脉与旋髂深动脉和腹壁浅动脉的关系可以分为5型：Ⅰ型（8/15），Ⅱ型（2/15），Ⅲ型（2/15），Ⅳ型（2/15），Ⅴ型（1/15）。患者术后受区外形丰满，张口度、语音和咀嚼功能恢复良好。结论·SCIP皮瓣质地柔软，穿支血管蒂较长，供区瘢痕隐蔽，是修复口腔癌缺损的良好选择。<br>： Objective · To investigate the anatomic and imaging characteristics of superficial circumflex iliac artery perforator (SCIP) flap and its clinical application in reconstruction after radical surgery of oral cancer. Methods · Fifteen patients underwent the SCIP flap reconstruction after radical surgery of oral cancer. All patients received preoperative examinations with CT angiography, color Doppler ultrasonography and/or MR angiography. The vascular dissection for superficial circumflex iliac artery (SCIA) and defect reconstruction were performed intra-operatively. The function recovery in recipient and donor sites was evaluated postoperatively. Patients were followed up for 2-10 months. Results · The average area and thickness of dissected flaps were (46 ± 22) cm2 and (1.2 ± 0.3) cm, respectively. The relationship between SCIA, deep circumflex iliac artery (DCIA), and superficial inferior epigastric artery (SIEA) could be classified into type 1 (8/15), type 2 (2/15), type 3 (2/15), type 4 (2/15), and type 5 (1/15). Good aesthetic outcome was obtained after surgery in the recipient sites and mouth-open width, speech, and mastication function recovered well. Conclusion · The SCIP flap is a pliable flap with long vascular pedicles and hidden donor site morbidity and an ideal option for oral maxillofacial defect reconstruction
%K 穿支皮瓣
%K 旋髂浅动脉
%K 颌面部
%K 癌
%K 缺损重建
%K &lt
%K br&gt
%K perforator flap
%K superficial circumflex iliac artery
%K oral maxillofacial
%K carcinoma
%K reconstruction
%U http://xuebao.shsmu.edu.cn/CN/abstract/abstract11257.shtml