【作者】 潘朝斌； 黄洪章； 赵小朋； 李劲松； 张彬； 王建广；

【Author】 Pan Chao-bin, Huang Hong-zhang, Zhao Xiao-peng, Li Jin-song, Zhang Bin Department of Oral and Maxillofacial Surgery, the Second Affiliated Hospital, Sun Yat-sen Universh

【机构】 中山大学附属第二医院口腔颌面外科；

【摘要】 <正>目的:舌癌根治手术导致舌、口底等大范围的组织缺损,必然影响患者术后语言、咀嚼、及吞咽等功能,导致生存质量不同程度下降。半舌缺损是否需要重建,目前尚有争论。本研究旨在比较舌癌根治导致半舌缺损同期前臂皮辦修复与直接拉拢缝合术后患者语言功能恢复效果的差异。方法:选取2004年 1月至2005年6月间在我科治疗的36例舌癌患者为对象,其中16例半舌切除后直接拉拢缝合,20例半更多还原

【Abstract】 Objective: Presently, radical operation is dominant in comprehensive treatment of TSCC. Hemiglossectomy is usually done in stage T2 and advanced TSCC cases. Hemiglossectomy can result in the decline of speech, chewing and swallowing function of the patients. There is still debate upon whether it is necessary to reconstruct the hemitongue defect with flaps. This study is to compare the difference of clinical effect after reconstruction of hemitongue defect with forearm flap (FAF) and primary closure (PC); and provide references for clinical treatment. Methods: 36 patients who underwent hemiglossectomy were investigated after surgery for TSCC. 20 cases were reconstructed with FAF, 16 with primary closure. The patients’ speech function was evaluated by articulation test. VS-9700 was used to analyze the speech character when they pronounce [ji], [shu], [lun]. The statistical analysis was done by SPSS 10.0. Results: (1) The speech articulation of patients who underwent hemitongue reconstruction with FAFs better than that of patients PC, and there was significant difference between them (P<0.05). (2) The first formant (F1) and the second formant (F2) of [ji] of PC group was higher than those of control group (P<0.05). There were no significant differences between FAF and control group in Fl and F2 of [ji] (P >0.05). (3) The Fl and F2 of [shu] of every experiment group were lower than those of control group (P< 0.05). (4) The Fl of [lun] of PC group was lower than that of control group (P<0.05). There were no significant differences between FAF group and control group in Fl of [lun] (P >0.05). Conclusions: The patients underwent hemitongue reconstruction with FAF achieved better speech than those patients underwent hemiglossectomy with primary closure.更多还原