【摘要】 目的:总结胸大肌肌皮瓣在头颈部肿瘤手术治疗缺损修复中的应用。方法:2011年3月至2016年6月,对20例应用胸大肌肌皮瓣在头颈部肿瘤手术缺损修复中的患者的临床资料进行回顾性分析。20例均为男性,年龄27~71岁。平均年龄54岁。结果:20例患者胸大肌肌皮瓣全部成活。随访2~24个月,患者外观基本满意,吞咽功能恢复良好,均无交流障碍。结论:胸大肌肌皮瓣血供可靠,组织量丰富,且应用较灵活,成活率高,修复效果显著,对于头颈部肿瘤术后较大缺损是较好选择,特别是对晚期头颈部肿瘤放化疗后患者术后较大缺损修复是较好选择,具有广泛临床应用价值,特别适于基层开展。更多还原

【Abstract】 Objective To summarize experience in pectoralis major myocutaneous(PMMC) flapreconstruction for patients undergoing head and neck surgeries. Methods We conducted a retrospective study toanalyse the clinical data of 20 patients who had PMMC flap reconstruction in a head and neck surgery from March2011 to June 2016. All patients were male,with the average age of 54 years(ranging from 27 to 71 years). ThePMMC flaps of all patients survived after the surgery. Only one patient developed pharyngocutaneous fistula,and wasrecovered after treatment with incision dressing. Among follow-ups for 2 to 24 months,all patients got wellrecovered,the swallowing and communication functions normal communication and the appearance a satisfactory.good looking. Conclusion PMMC renders effective flathe flap reconstruction with broad clinical application value isan optimal choice for patients underwent head and neck surgery with muscle or skin defect,especially for those whohad postoperative radiotherapy because of its rich blood supply and it has a lot of affluent tissues,fmore flexibilityinle application and higher survival rate. So it is highly applicable,especially for grass-roots hospitals.更多还原