锁骨上皮瓣在喉咽癌术后缺损修复中的应用
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刘学奎,Email:liuxk@sysucc.org.cn

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国家自然科学基金(81572657)


Clinical application of supraclavicular flap in postoperative defect repair of hypopharyngeal carcinoma
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    目的研究锁骨上皮瓣在喉咽癌术后缺损修复中的临床应用。方法回顾性分析2017年7月~2019年1月中山大学肿瘤防治中心应用带蒂锁骨上皮瓣修复喉咽癌术后缺损5例患者的临床资料,取带蒂锁骨上皮瓣修复缺损,皮瓣面积(6~20) cm×(4~6.5) cm。记录皮瓣制备时间、术中总出血量、术后引流管放置时间、皮瓣存活情况及供区愈合情况等。结果所有患者术中皮瓣制备时间平均为30 min(25~35 min),术中总出血量平均为56 ml(50~80 ml),术后引流管留置天数平均为6.6 d(5~10 d)。5例患者的锁骨上皮瓣均存活,无一例坏死。供区缺损均直接拉拢缝合,无伤口感染及功能损伤等并发症。结论锁骨上皮瓣具有制备技术简便,修复缺损可靠,伤口美观,局部功能损伤少,无需显微血管吻合等优点,可用于喉咽癌缺损修复手术。

    Abstract:

    ObjectiveTo assess the clinical application of supraclavicular flap in postoperative defect repair of hypopharyngeal carcinoma.MethodsClinical data of 5 patients receiving postoperative defect repair of hypopharyngeal carcinoma with pedicled supraclavicular flap at Sun YatSen University Cancer Center between July 2017 and Jan 2019 were analyzed retrospectively. The sizes of the flaps were measured in (6~20) cm×(4~6.5) cm.The harvesting time of the flap, the amount of intraoperative blood loss, the time of postoperative tube drainage, the outcome of the flap and the healing of the donor site were recorded.ResultsHarvesting time for the supraclavicular flap ranged from 25 to 35 minutes with an average of 30 minutes.The amount of intraoperative blood loss ranged from 50 to 80 ml, averaging 56 ml.The time of postoperative tube drainage ranged from 5 to 10 days, averaging 6.6 days.All flaps survived and all donor area defects were directly sewed and stitched without complications.ConclusionWith advantages of simple preparation technique, reliable repair of defects, no need for microvascular anastomosis, and aesthetic satisfication of wound as well as mild local function impairment, the supraclavicular flap can be used for postoperative defect repair of hypopharyngeal carcinoma.

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李茵, 陈晓琦, 赵政, 吴迪,李浩,郭朱明,刘学奎.锁骨上皮瓣在喉咽癌术后缺损修复中的应用[J].中国耳鼻咽喉颅底外科杂志,2019,25(4):339-342

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  • 在线发布日期: 2019-08-31
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