老年颊部缺损应用舌瓣和颊脂垫瓣修复的疗效分析

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1、老年颊部缺损应用舌瓣和颊脂垫瓣修复的疗效分析【摘要】U的？"察并比较舌瓣与颊脂垫瓣在老年颊部缺损修复中的临床效果及预后。方法60例本文采集自网络，本站发布的论文均是优质论文，供学习和研究使用，文中立场与本网站无关，版权和著作权归原作者所有，如有不愿意被转载的情况，请通知我们删除己转载的信息，如果需要分享，请保留本段说明。老年颊部组织缺损患者，按照修复方案不同分成舌瓣组和颊脂垫瓣组，各30例。颊脂垫瓣组采用自体带蒂颊脂垫瓣修复方案，舌瓣组给予舌瓣修复手术，评价两组临床疗效及并发症发生情况。结果颊脂垫瓣组患者术后3周

2、左右出现上皮化和存活，术后3个月己形成正常的口腔黏膜，6个月后移植区与周围的正常区域趋同，无痕迹；舌瓣组术后1周左右舌瓣转为正常红色。颊脂垫瓣组并发症发生率为6.7%，舌瓣组并发症发生率6.7%，比较差异无统计学意义（P〉0.05）。颊脂垫瓣组修复总有效率为96.7%，与舌瓣组的93.3%比较差异无统计学意义（P〉0.05）。颊脂垫瓣组发音功能改善效果优于舌瓣组，差异具有统计学意义（P<0.05）。结论基于舌瓣与颊脂垫瓣的修复方案对于老年颊部缺损总体疗效相当，手术风险小，建议临床充分评估手术适应证后选择适宜的手术

3、方案。【关键词】老年颊部缺损；舌瓣修复；颊脂垫瓣修复；疗效DOI：10.14163/j.cnki.11-5547/r.2017.05.018CurativeeffectanalysisofsenilebuccaldefectstreatedwithtongueflapandbuccalfatpadflaprepairHUANGJing.IntegeratedDepartmentTwo，DalianCityStomatologicalHospital,Dalian116021，China[Abstract]Obje

4、ctiveToobserveandcomparetheclinicaleffectandprognosisoftongueflapandbuccalfatpadflapinrepairofsenilebuccaldefects.MethodsAtotalof60senilebuccaldefectspatientsweredividedbydifferentrepairregimensintotongueflapgroupandbuccalfatpadflapgroup,with30casesineachgrou

5、p.Thebuccalfatpadflapgroupreceivedautologouspediclebuccalfatpadflaprepairregimen,andthetongueflapgroupreceivedtongueflaprepairsurgery.Evaluationweremadeonclinicaleffectandoccurrenceofcomplications.ResultsThebuccalfatpadflapgrouphadepitheliumandsurvivalinposto

6、perative3weeks,normaloralmucosainpostoperative3months,andconvergenceoftransplantationareaandnormalsurroundingareawithnotraceinpostoperative6months.Thetongueflapgrouphadnormalredtongueflapinpostoperative1week.Thebuccalfatpadflapgrouphadincidenceofcomplications

7、as6.7%,whilethetongueflapgrouphadincidenceofcomplicationsas6.7%，andthedifferencehadnostatisticalsignificance(P>0.05).Thebuccalfatpadflapgrouphadtotalrepaireffectiverateas96.7%,whichwas93.3%inthetongueflapgroup,andthedifferencehadnostatisticalsignificance(P>0.

8、05).Thebuccalfatpadflapgrouphadbetterpronunciationfunctionimprovementeffectthanthetongueflapgroup,andthedifferencehadstatisticalsignificance(P<0.05).ConclusionBasedontheequalcurativeeffec