不同皮瓣修复头面颈部软组织缺损的效果对比.docVIP

精品论文 参考文献 不同皮瓣修复头面颈部软组织缺损的效果对比 绵阳市中心医院门诊外科 四川绵阳 62100 　　摘要：目的：分析探讨不同皮瓣修复头面颈部软组织缺损的效果。方法：选择本人2010年4月-2015年3月之间接受的头面颈部软组织缺损患者20例作为观察对象，根据患者就诊时间的先后随机进行分组，分为参照组和研究组，每组10例。参照组患者应用胸锁乳突肌皮瓣进行修复治疗；研究组患者应用任意皮瓣修复治疗。对两组患者的治愈率、并发症发生率结果进行对比。结果：研究组和参照组患者的总移植成功率均为100%，差异不具有可比性，研究组治愈率高于参照组，差异结果无显性著（P＞0.05）；此外，研究组患者的并发症发生率低于参照组，但是差异同样无统计学意义（P＞0.05）。结论：不同皮瓣修复头面颈部软组织缺损的疗效存在一定的差异，其中任意皮瓣的治愈率高、并发症发生率低，具有更高的临床应用价值。 　　关键词：头面颈部软组织缺损；胸锁乳突肌皮瓣；临床疗效 　　Abstract: Objective: To explore the different facial and neck skin flap to repair the soft tissue defect of the. Methods: Between April 2010 and March -2015 I accept the head and neck soft tissue defects in 20 patients as the observation object, according to the time of patients were randomly grouped, divided into control group and study group, 10 cases in each group. In the reference group, the patients were treated with the use of the flap of the chest flap for repair, and the patients in the study group were treated with random skin flap repair. The cure rate and complication rate of the two groups were compared. Results: The total success rate of transplantation research group and reference group of patients was 100%, the difference was not comparable, the study group the cure rate is higher than the reference group, no differences in the results of the dominant (Pgt; 0.05); In addition, the study group patients The complication rate is lower than the reference group, but no significant difference in the same (Pgt; 0.05).Conclusion: there are some differences effect of different skin flap repair faciocervical soft tissue defect, the anterolateral thigh flap for repairing of high cure rate, complication rate is low, with more high value in clinical application. 　　Keywords: head and neck soft tissue defect; sternocleidomastoid muscle flap; clinical curative effect 　　头面颈部是人体中非常重要的暴露部分，直接影响到人的美观与形象。但是受到意外因素、生理病理因素的影响，出现软组织缺损的可能性也相对较高【1】。如果处理不当将可能对患者的生理、心理和精神上均带来创伤。临床中造成头面颈部软组织缺损的主要原因有肿瘤、外伤等。选择科学的方修复方式对患者进行治疗对于恢复患者头面颈部功能与美观具有非常重要的价值。以往手术治疗过程中，通常选