颈项皮瓣、胸大肌肌皮瓣修复头颈部肿瘤术后组织缺损19例临床分析

Repair of head and neck defects with neck flap or pectoralis major myocutaneous flap: an analysis of 19 cases

摘要: 目的:探讨颈项皮瓣、胸大肌肌皮瓣修复头颈部肿瘤术后组织缺损的疗效。方法:应用胸大肌肌皮瓣或颈项皮瓣修复头颈部肿瘤术后组织缺损19例。结果:术后转移肌皮瓣存活良好,成活率为100%;外观与周围组织色泽相似,外观满意度为84.21%(16/19),功能满意度为89.47%(17/19)。随访3~8年,3年生存率为63.16%(12/19),5年生存率为41.18%(7/17)。结论:胸大肌肌皮瓣或颈项皮瓣制备较简单,效果可靠,具有很大的灵活性,供区面积大且成活率高,可用于头颈部肿瘤术后组织缺损的修复。

Abstract: Objective: To explore the clinical effect of repairing postoperative head and neck neoplasm defect with neck flap or pectoralis major myocutaneous flap.Methods: Nineteen cases of head and neck neoplasm defect were repaired with pectoralis major myocutaneous flap or neck flap.Results: All the muscular flaps survived,with a success rate of 100%.The appearance satisfaction reached 84.21%(16/19) and the function satisfaction 89.47%(17/19).All the patients were followed up for 3-8 years.Three-year survival rate was 63.16%(12/19) and 5-year survival rate was 41.18%(7/17).Conclusions: The pectoralis major myocutaneous flap and neck flap are easy to prepare and present a high survival rate.It is preferred for the reconstruction of head and neck neoplasm defect.