腓肠内侧动脉穿支皮瓣修复颊癌术后缺损的初步应用.pdfVIP

组织工程与重建外科 2014 年 10 月 第 10 卷第 5 期 .269. ·论著· doi: 10.3969/j.issn.1673-0364.2014.05.∞9 雕肠内侧动脉穿支皮瓣修复颊癌 术后缺损的初步应用 宋晓萌张玉书武和明叶金海陈洁丁旭吴煌农袁冶 [摘要] 目的 探讨应用肺肠内侧动脉穿支皮瓣修复颊癌术后缺损的效果。方法 2011 年至 2014 年，选取 11 例颊粘 膜鳞状细胞癌患者，应用肺肠内侧动脉穿支皮瓣修复手术后缺损。皮瓣制备时采用改良式参考线，并借助于多普勒超 声定位穿支血管。血管吻合操作均在放大镜或显微镜辅助下完成。结果 11 例皮瓣全部存活，没有发生血管危象。颊 部缺损得到修复。患者术后开口及咀嚼功能恢复良好，受区无明显并发症。所有患者供区切口愈合良好，无伤口开裂、感 染及功能障碍等并发症，术后线状癫痕较为隐蔽。结论 陈肠内侧动脉穿支皮瓣是修复颊癌术后缺损的良好方法，值 得推广应用。 [关键词]脐肠内侧动脉穿支皮瓣颊癌游离移植 [中图分类号] R622 (文献标识码] A [文章编号] 1673-0364(2014)05-0269-03 Applica创00 of Medial Sural Artery Perforator Flap in Repair of Defects After Buccal Carcinoma Ablatioo 50NG 1 X刷刷ng，2， ZHANG Wd, WU Hemi时气 YE ji.础副i ， 2， CHEN jie气 DING Xu/, WU Ywwng气 YUAN Ye/,2. 1 Jim耶u Key LabOT1ωory of Oral Diseases , Nanjing Medical University, Nanjing 21ω29， Chi盹; 2 Department of Oral and Maxillofacial 5urgery, AffiliaJe d Hosp归1 of 5ω， matology， NfU引iing Medical University, N叫， iing 21ω2线 Chirw. Corresponding O1./,thor: YUAN Ye (yyz础ndental@163.comf [Ab喝tract] Objective To explore the application of medial sural artery perforator flaps (MSPFs) in repair of defects foIIowing buccal cancer ablation. Me曲。ds From 2011 to 2014 , 11 patien怡 were incIuded in this study. Eleven MSPFs were harvested to reconstruct defects caused by buccal carcinoma ablation. A modified reference line was used when harvesting the flap. Doppler ultrasound was used to localize perforators. Vascular anastomosis were completed under the magnifying glass or microscope. Results AII the flaps healed without venous insufficiency. Buccal defects were repaired primarily. Opening of the month and masticatory function were weII recovered. No obvious complications were found in donor site. No infection, dysfunction of leg or woun