摘要
患者的自我评估和医生术后检查对于舌再造术后功能恢复的评价同样重要。该研究通过寄发随访信及门诊随访调查，对１２８例患者进行术后调查，收到有效随访信１０４封，其中８７例门诊复查。结果显示：（１）女性患者对语音功能及外形的要求较高；（２）在皮瓣供区的评价中，不少患者抱怨前臂皮瓣伤口外露，对胸大肌皮瓣无特别反映，股薄肌皮瓣由于供区隐蔽且无功能障碍，术后患者较满意；（３）半侧舌缺损不宜直接缝合，而以皮瓣修复效果较佳；（４）舌的活动度与修复方法之间没有必然联系。
It is same inportant to consider both patient's own evaluation and the clinical examination.It is helpful to judge the state of the functional rehabililtation.We have followed up 128 cases of tongue cancer postoperatively,recieved 104 letters and checked up 87patients in the clinic.It has been discovered:1.the female patients paid more attention to the speech and apperance,while the male to the eating;2.on the donor site of flaps,some patients complained of the numbness in the fingers and the obvious scars in the forearm flap,while the fracilis myocutaneous flap is a relatively good method;3.in the cases of 1/2 anterior glossal defect,the forearm flap is available;to that more than 2/3 defect of the tongue,we used the myocutaneous flaps which have great volume of tissue;4.it is necessary to concern the mobility of the essential factors effecting the functional rehabilitation.
出处
《上海口腔医学》
CAS
CSCD
1994年第3期125-128,共4页
Shanghai Journal of Stomatology
