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目的探讨分析逆行性面动脉-颏下岛状肌皮瓣在颊面部组织缺损中的应用。方法随机选取我院近三年来收治的颊面部组织缺损患者38例,按照患者所采用的手术修复方式将患者分为实验组与对照组,实验组患者采用逆行性面动脉-颏下岛状肌皮瓣进行移位修复,而对照组患者采用胸大肌皮瓣进行移位修复。术后进行为期一年随访,比较两组患者治疗情况以及感染发生率以及日常生活功能恢复情况。结果经过对患者进行为期一年的随访发现,对照组患者治疗失败3例,有2例患者复发,最终治疗有效率(73.68%)明显低于实验组患者(100.00%),同时实验组患者进食(100.00%)、语言(100.00%)以及其他功能(100.00%)恢复情况分别明显优于对照组患者(73.68%)、(68.42%)、(73.68%),P<0.05,差异具有统计学意义。结论逆行性面动脉-颏下岛状肌皮瓣在颊面部组织缺损中治疗效果显著,同时复发率极低,安全性较高,值得在临床推广。
Objective To investigate the application of retrograde facial artery - submental island myocutaneous flap in the buccal and facial tissue defects. Methods Thirty-eight patients with buccal and facial tissue defects were randomly selected in our hospital in the past three years. The patients were divided into experimental group and control group according to the surgical repair method. The experimental group received retrograde facial artery - submental island muscle Flap for displacement repair, while the control group of patients with pectoralis major flap for displacement repair. After a one-year follow-up, the treatment of the two groups were compared as well as the incidence of infection and the recovery of daily life function. Results After a one-year follow-up, patients in the control group failed to receive treatment in 3 cases, 2 patients relapsed, and the final treatment response rate (73.68%) was significantly lower than that in the experimental group (100.00%). At the same time, patients in the experimental group (100.00%), language (100.00%) and other functions (100.00%) were significantly better than those in the control group (73.68%, 68.42%, 73.68%, P <0.05, respectively) . Conclusions The retrograde facial artery - submental island myocutaneous flap has a significant effect in the treatment of buccal and facial tissue defects. At the same time, the recurrence rate is very low and the safety is high, which is worthy of clinical application.