胸大肌肌皮瓣在口腔颌面部大面积缺损中应用探讨.docVIP

胸大肌肌皮瓣在口腔颌面部大面积缺损中应用探讨 　　[摘要]目的：探讨在口腔颌面部大面积缺损中使用胸大肌肌皮瓣进行修复重建的临床效果与应用价值。方法：选取我院2010年5月-2013年6月收治的48例口腔颌面部大面积组织缺损患者，对其使用胸大肌带蒂肌皮瓣进行修复治疗，观察患者治疗后临床效果并评估其应用价值。结果：48例口腔颌面部大面积缺损患者经使用胸大肌肌皮瓣修复治疗后全部成活，成活率100%，其中2例出现远端坏死，经治疗处理后部分成活，不影响口腔功能；除1例修复后开口受限达到Ⅱ度、3例下颌骨区段切除，其余口腔功能正常，患者满意度为89.58%（43/48）。结论：在口腔颌面部大面积缺损的临床修复治疗中使用胸大肌肌皮瓣，能够满足缺损面积需要，具有良好的修复效果与成活率，可有效改善口腔功能，患者对修复效果较为满意。 　　[关键词]口腔颌面部；大面积缺损；胸大肌；肌皮瓣修复 　　[中图分类号]R782 [文献标志码]A [文章编号]1008-6455（2015）12-0037-03 　　Inverstigation on application value of pectoralis major myocutaneous flap to large decay of oral and maxillofacial region 　　TU Xue-song1，HUANG Wei-dong2，GUO Tie2，HUANG Qiu-ming1 　　（1.Department of Pharmacy，Central Hospital of Xiaogan，Xiaogan 432000，Hubei，China；2. Department of Stomatology，Central Hospital of Xiaogan，Xiaogan 432000，Hubei，China） 　　Abstract： Objective To observe and analyze the clinical effect and application value of pectoralis major myocutaneous flap to large decay of oral and maxillofacial region. Methods 48 cases with large decay of oral and maxillofacial region treated in our hospital from May 2010 to June 2013 were selected as research objects and were treated with pectoralis major myocutaneous flap.The clinical effect of patients was observed and the application value was evaluated. Results 48 cases with large decay of oral and maxillofacial region survived after receiving the treatment of pectoralis major myocutaneous flap，and the survival rate was 100%，in which there were 2 cases with distal end necrosis，which had no influence on oral function.There was 1 case with limitation achievingⅡlevel after repair and 3 cases with resection of lower jawbone，except for which the oral functions of other patients were normal.The satisfactory degree of patients was 89.58%??43/48）. Conclusion For clinical treatment on large decay of oral and maxillofacial region，using pectoralis major myocutaneous flap not only can meet the requirement of decay area and has good repair effect and survival rate，but also can impro