腓肠内侧动脉穿支皮瓣修复面颊部恶性肿瘤术后缺损的疗效观察
[摘要]目的：探讨腓肠内侧动脉穿支皮瓣修复面颊部恶性肿瘤切除术后皮肤软组织缺损的临床应用效果。方法：2016年-2018年笔者科室收治面颊部肿瘤患者8例，行肿瘤扩大切除根治术+颈部淋巴结清扫根治术+腓肠内侧动脉穿支皮瓣游离移植修复，评估患者手术修复前后心理状态（焦虑、抑郁）、皮瓣修复效果（切口愈合、色泽、美观度评分及功能评分），以及患者满意度调查等。结果：8例患者术后焦虑自评量表（Self-rating anxiety scale，SAS）、抑郁自评量表（Self-rating depression scale，SDS）評分明显低于术前，差异有统计学意义（P<0.05）。本组皮瓣成活率100%，皮瓣外观、质地良好，美观度，面部对称性及功能评分高于术前（P<0.05），患者外观满意度为87.50%。结论：腓肠内侧动脉穿支皮瓣具有供区隐蔽、损伤小、术后皮瓣质地、修复外观好等优点，可作为面颊部肿瘤切除术后缺损修复优先选择皮瓣。
[关键词]面颊部肿瘤;穿支皮瓣;腓肠内侧动脉;缺损修复;显微外科;扩大切除;淋巴结清扫根治术
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455（2019）04-0014-03
Abstract： Objective This paper is to investigate the clinical application effect of the medial sural artery perforator flap for the repair of skin and soft tissue defects after cheek malignant tumors. Methods There were eight patients with cheek tumors had been admitted to our department from 2016 to 2018， underwent tumor extended radical operation plus medial sural artery perforator flap free grafting repair， we evaluated patients’ pre and postoperative psychological state （anxiety， depression）， flap repair effect （incision healing， color， appearance and functional evaluation） and did patients’ satisfaction survey. Results The scores of Self-rating anxiety scale and Self-rating depression scale in 8 patients after operation were significantly lower than those before operation， and the differences were statistically significant（P<0.05）. The flap survival rate was 100%. The appearance， texture， aesthetics， ...
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