老年颊部缺损应用舌瓣和颊脂垫瓣修复的疗效分析.docVIP

老年颊部缺损应用舌瓣和颊脂垫瓣修复的疗效分析 】U的？察并比较舌瓣与颊脂垫瓣在老年颊部缺损修复中的 临床效果及预后。方法60例 和著作权归原 所有， 己 老年颊部组织缺损患者，按照修复方案不同分成舌瓣组和颊脂垫瓣 组，各30例。颊脂垫瓣组采用自体带蒂颊脂垫瓣修复方案，舌瓣组 给予舌瓣修复手术，评价两组临床疗效及并发症发生情况。结果颊 脂垫瓣组患者术后3周左右出现上皮化和存活，术后3个月己形成正 常的口腔黏膜，6个月后移植区与周围的正常区域趋同，无痕迹； 舌瓣组术后1周左右舌瓣转为正常红色。颊脂垫瓣组并发症发生率为 6.7%，舌瓣组并发症发生率6. 7%，比较差异无统计学意义（P〉0. 05）。 颊脂垫瓣组修复总有效率为96. 7%，与舌瓣组的93. 3%比较差异无统 计学意义（P〉0.05）。颊脂垫瓣组发音功能改善效果优于舌瓣组，差 异具有统计学意义（P0.05）。结论基于舌瓣与颊脂垫瓣的修复方案 对于老年颊部缺损总体疗效相当，手术风险小，建议临床充分评估 手术适应证后选择适宜的手术方案。 关键词】老年颊部缺损；舌瓣修复；颊脂垫瓣修复；疗效 DOI： 10.14163/j.cnki.11-5547/r. 2017. 05. 018 Curative effect analysis of senile buccal defects treated with tongue flap and buccal fat pad flap repair HUANG Jing. Integerated Department Two ， Dalian City Stomatological Hospital, Dalian 116021， China [Abstract] Objective To observe and compare the clinical effect and prognosis of tongue flap and buccal fat pad flap in repair of senile buccal defects. Methods A total of 60 senile buccal defects patients were divided by different repair regimens into tongue flap group and buccal fat pad flap group, with 30 cases in each group. The buccal fat pad flap group received autologous pedicle buccal fat pad flap repair regimen, and the tongue flap group received tongue flap repair surgery. Evaluation were made on clinical effect and occurrence of complications. Results The buccal fat pad flap group had epithelium and survival in postoperative 3 weeks, normal oral mucosa in postoperative 3 months , and convergence of transplantation area and normal surrounding area with no trace in postoperative 6 months. The tongue flap group had normal red tongue flap in postoperative 1 week. The buccal fat pad flap group had incidence of complications as 6. 7%, while the tongue flap group had incidence of complications as 6.7%， and the difference had no statistical significance (P0. 05). The buccal fat pad flap group had total repair effective rate as 96. 7%, which was 93. 3% in the tongue flap group, and the difference had no statistical significance (P0. 05)