【摘要】 目的评价带血管蒂游离组织瓣修复舌鳞癌术后缺损的外形及功能恢复效果。方法32例舌癌患者进行根治术的同期,分别采用带血管蒂的前臂游离皮瓣、足背游离皮瓣进行修复,术后观察组织瓣成活情况,舌功能和外形,并评价表评价患者的语言和(或)吞咽等功能恢复情况。结果32例中,31例成活,成活率96.9%,术后观察见舌形态良好,语言、咀嚼、吞咽、进食等功能恢复至正常或接近正常。未发现复发及死亡病例。结论舌癌根治术同期选择带血管蒂游离组织瓣修复,可以较好地恢复舌的功能,并可能提高生存率。更多还原

【Abstract】 Objective To investigate the result of tongue reconstruction with vascularized free flap after radical tongue squamous cell carcinoma (TSCC) resection. Methods In 32 cases of TSCC patients received radical tongue carinoma resection, tongue defects were reconstructed with vascularized free forearm flap and free dorsal flap of foot simultaneously. The growth of flaps and the function of reconstructed tongue were observed. Results Among 32 patients, 31 flaps were alive, the survival rate of the flaps was 96.9%. The appearance and the function of reconstructed tongue were satisfactory. The function of chewing, swallowing recovered well. Conclusion Tongue reconstruction with vascularized free flap simultaneously after radical tongue carcinoma resection could resume better function of the tongue and increase the survival rate of the patients.更多还原