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目的:分析口腔癌根治术及皮瓣修复术手术后各种局部并发症的发生率及相关因素。方法:2000-2008年中山大学附属第二医院口腔颌面外科收治的口腔癌患者511例,行口腔癌根治术及其皮瓣修复术,分析术后2周内出现局部并发症的发生率及其相关因素。结果:口腔癌根治术及皮瓣修复术大型手术后术区感染发生率为9.96%;瘘道及瘘管形成与植入物排异的发生率为2.12%;术后术区出血发生率低,仅5例;呼吸道管理问题11例;颈淋巴清扫并发症发生率为17.05%;皮瓣修复术并发症发生率为9.98%。结论:口腔癌根治术及皮瓣修复术术后局部并发症的出现与患者的营养状况及有无合并全身系统性疾病相关,与肿瘤的分期、发生部位、手术方式及术后处理相关。
Objective: To analyze the incidence and related factors of various local complications after radical operation and skin flap repair of oral cancer. METHODS: A total of 511 oral cancer patients undergoing oral and maxillofacial surgery at the Second Affiliated Hospital of Sun Yat-sen University from 2000 to 2008 underwent radical surgery and skin flap repair. The incidence of local complications within 2 weeks after operation was analyzed. Its related factors. Results: The incidence rate of postoperative infection was 9.96% in the radical operation of oral cancer and skin flap repair. The incidence of fistula and fistula formation and implant rejection was 2.12%. The incidence of postoperative bleeding was low, Only 5 cases, respiratory tract management problems in 11 cases, neck dissection complications rate was 17.05%, skin flap repair complications rate was 9.98%. Conclusion: The occurrence of local complications following radical mastectomy and flap repair is related to the nutritional status of patients and the presence or absence of systemic systemic diseases, and is related to the stage of the tumor, the site of occurrence, the surgical approach and the postoperative management.