基于解剖学的“五点八线”皮瓣设计用于半舌缺损精确修复的效果评价

doi:10.19438/j.cjoms.2019.06.005

中国口腔颌面外科杂志 ›› 2019, Vol. 17 ›› Issue (6): 508-512.doi: 10.19438/j.cjoms.2019.06.005

基于解剖学的“五点八线”皮瓣设计用于半舌缺损精确修复的效果评价

王洁琪, 廖隽琨, 钟江龙, 张汉卿, 李群星, 王张嵩, 方泽震, 范松^*, 李劲松^*

中山大学孙逸仙纪念医院口腔颌面外科,广东广州 510120

收稿日期:2019-04-26 出版日期:2019-11-20 发布日期:2019-12-16
通讯作者: 范松,E-mail：fansong8888@163.com;李劲松,E-mail：lijinsong1967@163.com。*共同通信作者
作者简介:王洁琪(1988-),女,硕士,E-mail：158984135@qq.com
基金资助:
国家自然科学基金（81472521）; 广东省自然科学基金（2015A030313181）

"Five-point eight-line" anatomic flap design for precise hemiglossal reconstruction: evaluation of clinical outcomes

WANG Jie-qi, LIAO Jun-kun, ZHONG Jiang-long, ZHANG Han-qing, LI Qun-xing, WANG Zhang-song, FANG Ze-zhen, FAN Song, LI Jin-song

Department of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial Hospital of Sun Yat-sen University. Guangzhou 510120, Guangdong Province, China

Received:2019-04-26 Online:2019-11-20 Published:2019-12-16

摘要/Abstract

摘要： 目的: 使用“五点八线”技术（five-point eight-line segment, FIPELS）设计半舌缺损修复皮瓣,并比较“五点八线”技术与传统皮瓣移植方法的临床疗效。方法: 80例半舌缺损修复重建患者随机分为2组,分别为FIPELS组（42例）和传统皮瓣移植组（38例）,使用Likert量表比较2组患者的术后功能恢复及美观效果。采用SPSS 18.0软件包进行统计学分析。结果: FIPELS组的皮瓣与半舌缺损匹配度更高,术中无需修整皮瓣,手术时间较传统皮瓣移植组更短（P=0.02）。FIPELS组的术后吞咽功能、语言清晰度和美观度优于传统皮瓣移植组（P<0.05）。结论: 相比传统皮瓣移植方法,FIPELS设计的皮瓣用于半舌缺损修复具有更好的功能和美观效果。

关键词: "五点八线"皮瓣设计, 股前外侧皮瓣, 折叠前臂皮瓣, 舌重建

Abstract: PURPOSE: To explore a new flap design technique called "five-point eight-line segment(FIPELS)" for precise hemiglossal reconstruction and to compare the treatment outcomes between "FIPELS" and conventional flap design. METHODS: Eighty patients were randomly divided into 2 groups, FIPELS group (42 patients) and a conventional flap design group(38 patients). Likert scale was applied to assess the functional and cosmetic outcomes. The outcomes were analyzed by SPSS 18.0 software package. RESULTS: FIPELS group had less operation time (P=0.02) due to the excellent match to hemiglossal defects without flap trimming. Swallowing functions, speech articulation, and cosmetic outcomes were superior to conventional group (P<0.05). CONCLUSIONS: Compared to conventional flap design, FIPELS technique yields improved functional and cosmetic outcomes.

Key words: Five-point eight-line segment flap design, Anterolateral thigh flap, Kissing radial forearm flap, Tongue reconstruction

中图分类号:

R782.2

王洁琪, 廖隽琨, 钟江龙, 张汉卿, 李群星, 王张嵩, 方泽震, 范松, 李劲松. 基于解剖学的“五点八线”皮瓣设计用于半舌缺损精确修复的效果评价[J]. 中国口腔颌面外科杂志, 2019, 17(6): 508-512.

WANG Jie-qi, LIAO Jun-kun, ZHONG Jiang-long, ZHANG Han-qing, LI Qun-xing, WANG Zhang-song, FANG Ze-zhen, FAN Song, LI Jin-song. "Five-point eight-line" anatomic flap design for precise hemiglossal reconstruction: evaluation of clinical outcomes[J]. China J Oral Maxillofac Surg, 2019, 17(6): 508-512.

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基于解剖学的“五点八线”皮瓣设计用于半舌缺损精确修复的效果评价

"Five-point eight-line" anatomic flap design for precise hemiglossal reconstruction: evaluation of clinical outcomes

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