组织工程与重建外科杂志 ›› 2018, Vol. 14 ›› Issue (5): 272-274.doi: 10.3969/j.issn.1673-0364.2018.05.010

• 论著 • 上一篇    下一篇

颈阔肌肌皮瓣在颌面部创伤修复中的应用

刘莉,刘宏超   

  1. 邯郸市丛台区人民医院外科;遵化市人民医院外科
  • 收稿日期:2018-06-20 发布日期:2020-07-23

Application of Platysma Musculocutaneous Flap in the Repair of Maxillofacial Trauma

LIU Li,LIU Hongchao   

  1. Department of Surgery,People’s Hospital of Congtai District; Department of Surgery,Zunhua People’s Hospital
  • Received:2018-06-20 Published:2020-07-23
  • Contact: 邯郸市科学技术研究与发展计划(1220108088-11)

摘要: 目的讨论颈阔肌肌皮瓣在颌面部创伤修复中的应用效果。方法回顾性分析我院2015年6月至2017年12月的125例颌面部创伤修复患者,其中63例采取颈阔肌肌皮瓣修复(实验组),62例行股前外侧肌皮瓣修复(对照组)。比较两组的手术时间、术中出血量、住院时间、供区创面愈合时间、受区创面愈合时间、颌面部功能评分及并发症发生率等。结果实验组的手术时间、术中出血量、供区创面愈合时间显著低于对照组(P<0.01);两组住院时间、受区创面愈合时间无显著差异(P>0.05);实验组颌面部功能评分明显高于对照组(P<0.01),其皮瓣坏死率(3.17%vs. 11.29%)、并发症发生率(12.70%vs. 24.9%)均显著低于对照组(P<0.05)。结论采取颈阔肌肌皮瓣修复颌面部创伤,能够显著降低术中风险,提高颌面部功能预后,减少并发症,值得临床推广应用。

关键词: 颈阔肌肌皮瓣, 股前外侧肌皮瓣, 颌面部创伤, 修复

Abstract: Objective To explore the clinical efficacy of platysma musculocutaneous flap in the repair of maxillofacial trauma. Methods A total of 125 patients with maxillofacial trauma treated in our hospital from June 2015 to December 2017 were retrospectively analyzed. Sixty -three patients were treated with platysma musculocutaneous flap as the experimental group, while 62 patients were treated with anterolateral thigh musculocutaneous flap as the control group. The operation time, intra-operative blood loss, hospitalization days, donor wound healing time, wound healing time, maxillofacial function score and complication rate were compared between the two groups. Results The operation time, intra-operative blood loss and wound healing time of the donor side in the experimental group were significantly lower than those in the control group (P<0.01). There was no significant difference in the length of hospital stay and wound healing time between the two groups (P>0.05). The score of maxillofacial function in the experimental group was significantly higher than that in the control group (P<0.01). The skin flap necrosis rate (3.17% vs. 11.29%) and the complication rate (12.70% vs. 24.9%) of the experimental group were both significantly lower than that of the control group (P<0.05). Conclusion Repairing the maxillofacial trauma with the platysma musculocutaneous flap can significantly reduce the intra-operative risk, improve the prognostic function of the maxillofacial region and reduce complications. It is worthy of clinical promotion.

Key words: Platysma musculocutaneous flap, Anterolateral thigh musculocutaneous flap, Maxillofacial trauma, Repair

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