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目的评价唇癌根治切除后即时进行唇再造的方法与效果。方法对69例唇癌患者,癌切除后即时应用交叉唇瓣、扇形瓣、鼻唇沟或唇颊沟组织瓣、V形切除推进缝合、面动脉蒂的唇颊组织岛状瓣等方法进行唇再造。术后随诊1～6年,观察其形态与功能效果。结果所有患者术后病情稳定,再造唇均成活。再造唇中保存口角轴的53例,其功能与形态效果均优良。应用扇形瓣或口角唇组织瓣转移修复者13例,术后唇形前突,运动时口角不对称。因组织量不足和术后感染致唇形态欠佳者3例。结论①鉴于唇癌容易早期发现,一般恶性程度较低,唇癌切除即时进行唇再造可作为一个常规的治疗方法。②口角轴是口唇运动和表情形态的核心。保存口角轴的唇再造,可使再造唇的形态与功能的损害减少到最低限度。全部割断口角轴的唇再造,必导致再造唇形态与功能的严重损害。交叉唇瓣是一个首选的方法。
Objective To evaluate the method and effect of lip remodeling immediately after radical resection of lip cancer. Methods Sixty-nine patients with lip cancer were treated with lip, flap, nasolabial or lip cheek groove tissue flap, V-shaped excision suture, and facial lip of facial artery pedicle lip immediately after resection of the lip. Reconstruction. Follow-up 1 to 6 years after surgery to observe the morphological and functional effects. Results All patients were stable after surgery and the lip reconstruction was alive. Reconstruction of the mouth to preserve the mouth of the spine in 53 cases, its function and morphology are excellent. Thirteen patients were treated with segmental fan flap or mouth and lip lip flap transfer, and the lip was anterior process after operation. The mouth angle was asymmetrical during exercise. Due to insufficient tissue and postoperative infection caused by poor lip shape in 3 cases. Conclusion ① In view of the early detection of lip cancer is easy, the general low degree of malignancy, lip lip resection immediate lip reconstruction can be used as a routine treatment. ② mouth axis is the core of facial movements and facial expressions. Save the mandrel lip reconstruction, can make the shape and function of the reconstruction lip damage reduced to a minimum. All re-cleavage mandrel lip reconstruction, will lead to re-lip shape and function of the serious damage. Cross lip is a preferred method.