口腔医学研究

口腔医学研究 ›› 2017, Vol. 33 ›› Issue (9): 966-969.DOI: 10.13701/j.cnki.kqyxyj.2017.09.014

• 临床研究论著 • 上一篇    下一篇

旋髂浅动脉穿支皮瓣修复颊癌术后缺损的临床应用

阮敏1，马春跃1，周辉红2，陶晓峰3，章一新4，何悦1*   

  1. 1. 上海交通大学医学院附属第九人民医院·口腔-头颈肿瘤科,
    上海市口腔医学重点实验室/上海市口腔医学研究所,国家口腔疾病临床研究中心 上海 200011；
    2. 上海交通大学医学院附属第九人民医院超声诊断科 上海 200011；
    3. 上海交通大学医学院附属第九人民医院放射科 上海 200011；
    4. 上海交通大学医学院附属第九人民医院整形外科 上海 200011
  • 收稿日期:2017-03-08 出版日期:2017-09-20 发布日期:2017-09-27
  • 通讯作者: 何悦,E-mail:doctorruanmin@hotmail.com
  • 作者简介:阮敏(1978~ ),男,安徽人,副主任医师,博士,主要从事口腔颌面部肿瘤的基础与临床研究。
  • 基金资助:
    国家自然科学基金(编号:81772870;81271112;81472517)上海市浦江人才计划(编号:15PJD024)上海市人才发展资助项目(编号:201312)上海交通大学晨星学者"A"类及"B"类计划

Free Superficial Circumflex Iliac Artery Perforator Flap for Reconstruction of Soft Tissue Defects Secondary to Resection of Buccal Carcinoma

RUAN Min1, MA Chun-yue1, ZHOU Hui-hong2, TAO Xiao-feng3, ZHANG Yi-xin4, HE Yue1*   

  1. 1. Department of Oral and Maxillofacial-Head and Neck Oncology, Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Key Laboratory of Stomatology, & Shanghai Research Institute of Stomatology; National Clinical Research Center of Stomatology, Shanghai 200011, China;
    2. Department of Ultrasonic Diagnosis, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China;
    3. Department of Radiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China;
    4. Department of Plastic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.
  • Received:2017-03-08 Online:2017-09-20 Published:2017-09-27

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摘要： 目的:探讨旋髂浅动脉穿支皮瓣修复颊癌根治术后颊部缺损的临床效果。方法:2014年1月~2014年6月,修复6例颊癌根治术后颊部缺损,所有患者术前均进行CT血管造影及彩色多普勒超声检查。结果:皮瓣面积30～63 cm2,动脉管径0.6 mm,静脉管径1.1 mm,动静脉血管蒂分别为6.9 cm和7.3 cm,6例皮瓣全部成活,术后颊部形态良好,张口正常。结论:旋髂浅动脉穿支皮瓣质地柔软,穿支血管蒂较长,供区瘢痕隐蔽患者术后颊部外形丰满,张口功能恢复良好,是修复颊癌术后缺损的良好选择。

关键词: 旋髂浅动脉, 穿支皮瓣, 颊癌, 缺损重建

Abstract: Objective: To investigate the therapeutic effect of free superficial circumflex iliac artery perforator (SCIP) flap for reconstruction of soft tissue defects secondary to resection of buccal carcinoma. Methods: From January 2014 to June 2014, six patients with buccal carcinoma received radical resection and immediate reconstructed with SCIP flap. CTA and color Doppler sonography were routinely performed before the surgery. Results: The flap sizes ranged from 30 to 63 cm2. The mean diameter of the superficial circumflex iliac arteries was 0.6 mm and of the veins was 1.1 mm. The mean arterial pedicle length was 6.9 cm, and the venous pedicle length was 7.3 cm. The mean reduction of mouth opening was 0.4 cm. No flap failure was found, and a satisfactory aesthetic outcome was obtained in all cases. Conclusion: The SCIP flap is a reliable, thin and pliable flap with long vascular pedicles



基金项目 国家自然科学基金(编号:81772870;81271112;81472517)
上海市浦江人才计划(编号:15PJD024)
上海市人才发展资助项目(编号:201312)
上海交通大学晨星学者"A"类及"B"类计划
作者简介 阮敏(1978~ ),男,安徽人,副主任医师,博士,主要从事口腔颌面部肿瘤的基础与临床研究。
*通讯作者 何悦,E-mail:doctorruanmin@hotmail.com
and hidden donor site, and can achieve satisfactory postoperative buccal contour and mouth opening, making itself a good option for buccal defect reconstruction.

Key words: Superficial circumflex iliac artery, Perforator flap , Buccal carcinoma, Reconstruction

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