摘要
【目的】总结改良胸大肌肌皮瓣修复头颈肿瘤手术组织缺损的临床疗效。[方法]回顾性地总结本科2004年6月1日至2008年6月31日间15例应用改良胸大肌肌皮瓣修复头颈肿瘤手术巨大组织缺损病例的临床资料，其中12例经锁骨下隧道转移。手术均为I期修复，皮瓣面积为5CFll×6cm-10cm×15cm。【结果】患者肌皮瓣全部成活，2例发生咽瘘，1例肌皮瓣远端部分坏死，均经换药后愈合。【结论】胸大肌肌皮瓣具有丰富的血液供应，优良的组织量，修复操作简单，应用广泛，特别适用于头颈部肿瘤扩大切除术后巨大组织缺损的修复，通过保留上1／3～1／2胸大肌及锁骨下隧道转移改良，充分发挥了胸大肌肌皮瓣的优越性。
[Objective]To summarize the clinical efficacy of modified pectoralis major myocutaneous flap for repairing tissue defects after the operation of head and neck tumors. [Methods]The clinical data of 15 cases of large tissue defects after operation of head and neck tumors reconstructed with modified pectoralis major myocutaneous flap in our department between June 1, 2006 to January 31, 2010 were summarized retrospec tively. Among these cases, 12 cases underwent the transfer via subelavicular channel. All the operations were one stage reconstruction. The size of flaps ranged from 5cm×6cm to 10cm×15cm. [Results]Muscle flaps all survived in all cases. Pharyngeal fistula occurred in 2 cases and the necrosis of the distal partial myocutaneous flap occurred in 1 case, and these 3 cases were healed by changing dressing. [Conclusion]Pectoralis major myo cutaneous flap has rich blood supply, excellent tissue dose, simple reconstruction operation and general appli cation, so it can be especially used in the repair of large tissue defects after the extended resection of head and neck tumors. Reserving the 1/341/2 of the upper pectoralis major muscle and modifying the transfer via sub clavicular channel can made full use of the advantages of pectoralis major myocutaneous flap.
出处
《医学临床研究》
CAS
2011年第6期1144-1146,共3页
Journal of Clinical Research
关键词
头颈部肿瘤/外科学
外科皮瓣
手术后并发症
head and neck neoplasms/SU
surgical flaps
postoperative complications
