摘要： 目的：分析口腔颌面部恶性肿瘤经上蒂垂直型颈阔肌肌皮瓣修复后，影响皮瓣存活的因素。方法：对2010—2013年间收治的，117例口腔颌面部恶性肿瘤应用颈阔肌肌皮瓣修复的病例进行回顾性分析。研究变量包括性别、年龄、糖尿病病史、术中面动脉的保留与否、皮瓣设计的长宽比例、肿瘤的原发部位、肿瘤的T分期、术后受区的感染与否，结果变量为患者皮瓣的坏死与存活。采用SPSS 17.0软件包对数据进行χ2检验和Logistic多因素回归分析。结果：患者糖尿病病史、术后受区的感染与皮瓣存活之间有统计学意义。而患者的年龄、性别、术中面动脉的保留与否、皮瓣设计的长宽比例、肿瘤的T分期、肿瘤的原发部位与皮瓣的存活无统计学意义。结论：口腔颌面部上蒂垂直型颈阔肌肌皮瓣修复后皮瓣存活的状况受多因素影响的，患者糖尿病病史、术后受植区的感染状况与皮瓣存活有相关性。为临床上预防颈阔肌肌皮瓣术后坏死提供了重要的参考依据。

关键词: 上蒂垂直型颈阔肌肌皮瓣；  , 口腔颌面部恶性肿瘤；  , 皮瓣成活

Abstract: Objective: To analyze the factors about the survival condition of superiorly based platysma flap that repairs oral and maxillofacial malignant tumor. Methods: A retrospective study was conducted in 117 patients used superiorly based platysma flap to repair the tissue defect of oral and maxillofacial malignant tumor from 2010 to 2013. The study variables were gender, age, diabetes mellitus, the preservation of the facial artery, The design of the flap length-width ratio, primary site of the tumor, the T stage of tumor, the infection of flap area. The outcome variables were the necrosis and survival of the flap. Statistical analysis of the results was performed using Chi-square test and Logistic regression analysis with SPSS17.0 software package. Results:  The history of diabetes mellitus and the infection of flap area were statistically significant with the survival condition of superiorly based platysma flap. However the patients′ age, gender, the preservation of the facial artery, the design of the flap length-width ratio, primary site of the tumor and the T stage of tumor have no statistical significance. Conclusion:  The survival condition of superiorly based platysma flap that repairs oral and maxillofacial malignant tumor was affected by various factors, including the history of diabetes mellitus and postoperative infection by planting area. And it will provides important reference basis for clinical prevention of postoperative platysma myocutaneous flap necrosis.

Key words: superiorly based platysma flap, oral and maxillofacial malignant tumor, survival condition

中图分类号: 

• R782.26