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目的:探讨股前外侧组织瓣在修复口腔颌面部组织缺损中的应用效果。方法:取2010年1月~2012年12月在本院口腔外科行股前外侧组织瓣修复口腔颌面部缺损的21名病人为主要研究对象,回顾分析术后病人皮瓣的颜色、质地、肿胀程度以及弹性度等血循环指标,以及术后并发症等的情况,并分析随访期间其外貌及功能的恢复情况。结果:游离瓣成活率为100%;1人术后发生引流不畅,1人术后发生血栓,3人受区出现并发症,其中2人为局部血肿,1人为腺瘘;供区除早期(30天)存在肌无力感外,无1例出现明显并发症;随访3个月~半年后所有病人下肢行走与负重功能恢复;半年后2名局部血肿者症状明显好转;舌癌以及口底癌病人术后舌体运动尚可,口齿较清楚,张口度理想;供区瘢痕位置较隐蔽,所有病人都表示能够接受。结论:股前外侧组织瓣在修复口腔颌面部组织缺损中的应用效果较理想,值得加以推广。
Objective: To explore the effect of anterolateral femoral flap in the repair of oral and maxillofacial tissue defects. Methods: From January 2010 to December 2012, 21 patients with oral and maxillofacial defects repaired by anterolateral anterior flaps in our hospital were selected as research objects. The color, texture, Swelling degree and elasticity and other blood circulation indicators, as well as postoperative complications, etc., and analyze the appearance and function of the recovery during follow-up. Results: The survival rate of the free flap was 100%. One patient had poor drainage and thrombosis occurred in one patient. Complications occurred in the three affected area, of which 2 were local hematoma and 1 was glandular fistula. 30 days) with myasthenia gravis, no obvious complication was found in one case. All cases were followed up for 3 months to six months. All patients had lower extremity walking and weight-bearing function recovery. Six months later, the symptoms of two local hematomas were obviously improved. After the operation of the patient’s tongue is acceptable, articulate more clearly, mouth ideal; scar location for the more hidden areas, all patients said they can accept. Conclusion: The application of anterolateral femoral flap in the repair of oral and maxillofacial tissue defects is more effective and worthy to be popularized.