摘要： 目的： 观察前臂皮瓣和胸大肌皮瓣修复口腔癌手术缺损的治疗效果。方法： 30例口腔癌患者在常规联合根治术后，随机分为A、B组，每组15例。A组采用前臂桡侧皮瓣游离移植同期修复口腔癌术后口腔颌面部缺损，B组采用胸大肌皮瓣同期修复口腔癌术后口腔颌面部组织缺损；对比两组的修复效果。结果： A组13例（86.67%）前臂皮瓣顺利成活，B组皮瓣成活率100%。A组中有6例患者虎口感觉消失、4例患者供区颜色极深或极浅；B组中有4例女性患者术后两侧乳房不对称。结论： 前臂皮瓣和胸大肌皮瓣修复口腔癌手术缺损均具有较高的成功率，两种皮瓣均适用于口腔癌手术缺损修复。

关键词: 游离桡侧前臂皮瓣, 胸大肌皮瓣, 口腔癌, 软组织缺损, 修复

Abstract: Objective: To evaluate the clinical efficacy of pectoralis major myocutaneous flap and radial forearm free flap in oral cancer reconstruction. Methods: 30 patients with oral cancer were divided into 2 groups randomly. The oral and maxillofacial defects of the group A (n=15) were repaired by radial forearm free flaps. The tissue defects of group B (n=15) were repaired with modified pectoralis major myocutaneous flaps. The repair effects of the two different ways were evaluated. Result: The survival rate of flaps in groups A was 86.67% while those in group B was 100%. In group A, 6 cases disappeared of skin sensation in the donor hand within an area between the thumb and index finger, and the color in  donor site were found deepen or sublimes in 4 cases. In group B, 4 cases showed asymmetrical level of breasts position. Conclusion: Both radial forearm free flap and pectoralis major myocutaneous flap show a high success rate. These two kinds of flaps may be adequate for repairing tissue defects during oral cancer surgery.

Key words:  radial forearm free flap, pectoralis major myocutaneous flap, oral cancer, soft tissue defect ;reconstruction

中图分类号: 

• R782.24