口腔医学研究

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (3): 226-229.DOI: 10.13701/j.cnki.kqyxyj.2022.03.006

• 口腔颌面外科学研究 • 上一篇    下一篇

血管吻合器用于游离组织瓣修复舌体缺损的回顾性研究

王玫月1, 米洪燕1, 刘孟哲1,2, 刘一鸣1, 孙晶晶1, 李锐1*   

  1. 1.郑州大学第一附属医院口腔颌面外科 河南 郑州 450000;
    2.郑州大学医学科学院 河南 郑州 450000
  • 收稿日期:2021-09-02 出版日期:2022-03-28 发布日期:2022-03-25
  • 通讯作者: * 李锐,E-mail: fcclir@zzu.edu.cn
  • 作者简介:王玫月(1998~ ),女,河南商丘人,硕士在读,研究方向:口腔颌面外科临床与基础。
  • 基金资助:
    国家自然科学基金(编号:31670994、U1904145、81901039)河南省自然科学基金(编号:182300410340)河南省医学科技攻关(重点)项目(编号:SBGJ202002073)

Retrospective Study of Vascular Stapler Used for Free Tissue Flap to Repair Tongue Defect

WANG Meiyue1, MI Hongyan1, LIU Mengzhe1,2, LIU Yiming1, SUN Jingjing1, LI Rui1*   

  1. 1. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China;
    2. Academy of Medical Sciences at Zhengzhou University, Zhengzhou 450000, China
  • Received:2021-09-02 Online:2022-03-28 Published:2022-03-25

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摘要： 目的: 回顾性分析血管吻合器在游离组织瓣修复舌体缺损中的应用效果。方法: 选取郑州大学第一附属医院2020年1~12月收治的88例游离皮瓣移植修复舌体缺损的病例,记录患者的临床信息、血管吻合情况与皮瓣移植并发症,应用口腔健康影响程度量表(OHIP-14)对患者术后6个月的口腔健康相关生活质量(OHRQOL)进行评估。结果: 88例中皮瓣动脉和静脉均采用吻合器吻合51例(57.95%),仅静脉采用吻合器吻合、动脉采用手工缝合37例(42.05%);吻合器的使用缩短了血管吻合时间;总体皮瓣移植成活率为100%;OHIP-14得分显示恢复较好的项目是社交障碍和残障,较差的是生理性疼痛和心理不适。结论: 利用血管吻合器进行游离组织瓣修复舌体缺损的效果良好,能够提高患者的口腔健康相关生活质量。

关键词: 舌体缺损, 吻合器, 游离皮瓣, 口腔健康相关生活质量

Abstract: Objective: To retrospectively analyze the effect of vascular stapler in repairing tongue defects with free tissue flaps. Methods: Eighty-eight cases of free skin flap transplantation to repair tongue defect from January 2020 to December 2020 in the First Affiliated Hospital of Zhengzhou University were selected. The patient's clinical information, anastomosis, and skin flap transplantation complications were recorded. The Health Impact Scale (OHIP-14) was used to assess the oral health-related quality of life (OHRQOL) of patients 6 months after surgery. Results: In 88 cases, 51 cases (57.95%) were anastomosed with a stapler for the artery and vein of the skin valve, and 37 cases (42.05%) were anastomosed with a stapler only for the vein and 42.05% for the artery. The use of a stapler shortened the vascular anastomosis time. The survival rate of skin flap transplantation was 100%. The items with better recovery of OHIP-14 score were social disorder and disability, and the worse were physical pain and psychological discomfort. Conclusion: The use of vascular stapler for free tissue flaps to repair tongue defects is effective and can improve patients' OHRQOL.

Key words: tongue defect, stapler, free flap, oral health related quality of life