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带蒂胸大肌皮瓣在头颈外科修复中的应用 被引量:2

Application of the Pectoralis Major Myocutanous Flap in Head & Neck Reconstruction
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摘要 目的 :探讨带蒂胸大肌复合组织瓣在头颈肿瘤切除后组织缺损一期修复的方法及适应证。方法 :采用带蒂胸大肌岛状复合组织瓣一期修复口腔癌 7例 ,口咽癌、腮腺癌各 1例。结果 :9例均获满意的外观和功能 ,2例皮瓣部分坏死 ,均经换药痊愈。结论 :带蒂胸大肌皮瓣可以满足颌面中部以下 ,口腔 ,颈部覆盖组织及衬里大面积缺损的修复 ,修复瓣成活率相对较高。 Objective To discuss the methods and indications of using the pectoralis major myocutanous flap to reconstruct the large defect that results from the resection of head and neck cancer.Methods Nine patients underwent head and neck reconstruction using the pectoralis major myocutanous flaps.Among these patients.there were seven cases with tumors of the oral cavity.one the oropharynx tumor,and one of the malignant parotid tumor.Results The relative satisfactory appearances and functions were achieved in all nine patients.partial flap necorsis happened in two cases and the wounds healed after treatment.Conclusions The pectoralis major myocutanous flap can fulfill the demand to reconstruct the large defect in midface,oral cavity,and neck.The survival rate is relatively high.
出处 《肿瘤防治杂志》 2001年第3期279-280,共2页 China Journal of Cancer Prevention and Treatment
关键词 头颈部肿瘤 外科学 治疗 外科皮瓣 移植 手术后 并发症 综合疗法 pectoralis major myocutanous flap head and neck cancer reconstruction
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  • 1Arigan S. The pectoral is major myocutaneous flaps. A versatile flap for reconstruction in head and neck[J]. Plast Reconstr Surg, 1979, 63(1): 72-81.
  • 2侯春林 孙弘.带血管蒂组织瓣移位手术图解[M](第二版)[M].上海:上海科学技术出版社,1988.16-20,171-210.
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  • 6郑家伟.口腔颌面部常用游离组织瓣的选择[J].国外医学(口腔医学分册),1998,25(5):280-283. 被引量:4
  • 7赵月皎,李树春,徐成钧.带血管蒂肌皮瓣在头颈部根治性放疗后复发癌切除中的应用[J].耳鼻咽喉(头颈外科),2002,9(2):95-97. 被引量:6

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