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-  2017 

游离胸肩峰动脉穿支皮瓣修复舌癌术后缺损的疗效观察

DOI: doi:10.7507/1002-1892.201609090

Keywords: 胸肩峰动脉穿支皮瓣, 游离皮瓣, 舌肿瘤, 舌再造

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Abstract:

目的 探讨游离胸肩峰动脉穿支皮瓣修复舌癌术后缺损的疗效。 方法 2010 年 5 月—2015 年 2 月,采用游离胸肩峰动脉穿支皮瓣移植修复 11 例舌癌术后缺损并行舌再造。男 9 例,女 2 例;年龄 33~72 岁,平均 52.6 岁。均为鳞状细胞癌;原发舌缘 7 例,原发舌腹 2 例,口底癌累及舌 2 例。根据国际抗癌联盟(UICC)TNM 分期:T4N0M0 3 例,T4NlM0 3 例,T3N1M0 2 例,T3N2M0 2 例,T3N0M0 1 例。病程 3~28 个月,平均 10.6 个月。肿瘤范围 6 cm×3 cm~10 cm×5 cm。术中穿支皮瓣切取范围为 7.0 cm×4.0 cm~11.0 cm×5.5 cm;厚度 0.6~1.2 cm,平均 0.8 cm;血管蒂长 6.8~9.9 cm,平均 7.2 cm。 结果 术后 11 例皮瓣均顺利成活,创面Ⅰ期愈合;供区切口均Ⅰ期愈合。患者均获随访,随访时间 12~24 个月,平均 17.2 个月。患者再造舌外形良好,吞咽及语言功能满意,随访期间肿瘤局部无复发。供区仅遗留线性瘢痕,胸大肌功能未见明显影响。 结论 胸肩峰动脉穿支皮瓣质地好,再造舌外形及功能良好,供区损伤小,是舌癌术后舌缺损修复与舌再造的理想选择

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