摘要
目的探讨彩色多普勒超声辅助游离下腹部穿支皮瓣修复口腔颌面部软组织缺损的临床效果。方法2018年6月至2019年3月,蚌埠医学院第一附属医院口腔颌面外科收治5例口腔癌患者,男2例,女3例,年龄45~69岁。同期在术前彩色多普勒超声评估和定位下,采用以旋髂浅动脉或腹壁浅动脉为蒂的游离下腹部皮瓣,修复口腔颌面部软组织缺损创面。结果本组5例,采用腹壁浅动脉皮瓣修复3例,旋髂浅动脉皮瓣修复2例,皮瓣移植均存活,供、受区均一期愈合。皮瓣面积5 cm×6 cm^7 cm×9 cm。5例患者均随访3~12个月,平均6个月,皮瓣质地柔软,无明显的臃肿,无毛发生长,无瘢痕挛缩导致的张口受限。结论彩色多普勒超声辅助下腹部穿支皮瓣修复口腔颌面部软组织缺损,具有筛选、定位血管准确,皮瓣切取方便,供区隐蔽,损伤小等特点,是一种较好的口腔颌面部软组织缺损修复方法。
Objective To investigate the clinical effect of free lower abdominal perforator flaps assisted by color Doppler ultrasound in repairing oral maxillofacial soft tissue defects.Methods From June 2018 to March 2019,five patients with oral cancer underwent surgical treatment.There were 2 males and 3 females,age from 45-69 years old.At the same time,free lower abdominal flaps pedicled with superficial circumflex iliac artery or superficial inferior epigastric artery were used to repair oral maxillofacial soft tissue defects under preoperative color Doppler ultrasound evaluation and localization.Results All the five cases survived.Three cases were repaired with superficial inferior epigastric artery flap and two cases were repaired with superficial circumflex iliac artery flaps.These flaps ranged from 5 cm×6 cm to 7 cm×9 cm.The follow-up period ranged from 3 to 12 months,with an average of 6 months.The flaps were soft,without obvious swelling,hairless growth,scarless contracture and limited mouth opening.All donor and recipient areas were healed in one stage.Conclusions The lower abdominal perforator flaps assisted by color Doppler ultrasound for repairing oral and maxillofacial soft tissue defects are characterized by accurate selection and localization of blood vessels,convenient extraction of skin flaps and minimal morbidity of donor site.It is a good method for repairing oral and maxillofacial soft tissue defects.
作者
张凯
王栋
高廷益
都晓英
王晓敏
韩瑞
韩仲兵
Zhang Kai;Wang Dong;Gao Tingyi;Du Xiaoying;Wang Xiaomin;Han Rui;Han Zhongbing(Department of Oral and Maxillofacial Surgery,First Affiliated Hospital of Bengbu Medical College,Bengbu 233004,China;Department of Ultrasound,First Affiliated Hospital of Bengbu Medical College,Bengbu 233004,China;Department of Otolaryngology,Head and Neck Surgery,First Affiliated Hospital of Bengbu Medical College,Bengbu 233004,China;Department of Orthopedics,First Affiliated Hospital of Bengbu Medical College,Bengbu 233004,China)
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2019年第12期1200-1204,共5页
Chinese Journal of Plastic Surgery
基金
安徽省高校自然科学研究项目(KJ2018A1005)
蚌埠医学院自然科学重点研究项目(BYKY2019017ZD)。
关键词
腹壁浅动脉
旋骼浅动脉
外科皮瓣
彩色多普勒超声
Superficial inferior epigastric artery
Superficial circumflex iliac artery
Surgcial flap
Color Doppler ultrasound
