13例旋髂浅动脉浅支皮瓣修复口腔癌术后软组织缺损的回顾性研究

doi:10.13701/j.cnki.kqyxyj.2025.08.008

口腔医学研究 ›› 2025, Vol. 41 ›› Issue (8): 685-689.DOI: 10.13701/j.cnki.kqyxyj.2025.08.008

13例旋髂浅动脉浅支皮瓣修复口腔癌术后软组织缺损的回顾性研究

陈欣, 孙亚威, 韩生伟, 梁易, 蒲玉梅, 黄浩浩, 孙国文^*

南京大学医学院附属口腔医院,南京市口腔医院口腔颌面外科,南京大学口腔医学研究所江苏南京 210008

收稿日期:2025-02-08 出版日期:2025-08-28 发布日期:2025-08-15
通讯作者: ^*孙国文,E-mail:238957@sina.com
作者简介:陈欣(1982~ ),男,山东枣庄人,硕士,副主任医师,研究方向:口腔颌面外科。
基金资助:
南京市卫生科技发展项目资金(编号:YKK22183)

Retrospective Study of 13 Cases of Soft Tissue Defects after Oral Cancer Resection Repaired with Superficial Branch of Superficial Circumflex Iliac Artery Flap

CHEN Xin, SUN Yawei, HAN Shengwei, LIANG Yi, PU Yumei, HUANG Haohao, SUN Guowen^*

Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing 210008, China

Received:2025-02-08 Online:2025-08-28 Published:2025-08-15

摘要/Abstract

摘要： 目的: 本研究通过回顾13例口腔癌患者的临床资料,探讨旋髂浅动脉(superficial circumflex iliac artery,SCIA)浅支皮瓣的临床应用价值。方法: 选取13例口腔癌患者,在手术过程中仅解剖SCIA浅支作为血管蒂,制备旋髂浅动脉浅支皮瓣,用于修复病灶切除后的口腔软组织缺损。术后对患者进行3~6个月的随访,以评估治疗效果。结果: 所有13例患者均存在SCIA浅支,并成功解剖该浅支作为血管蒂制备了SCIA浅支皮瓣。所取血管蒂的平均长度为(6.70±0.71) cm,所取皮瓣的平均面积为(38.00±8.48) cm²。其中,12例患者的皮瓣修复成功,术后复查显示皮瓣形态良好,口腔功能恢复理想。然而,在手术过程中,1例患者出现了血管危象,导致修复未能成功。随后,治疗方案调整为采用左前臂皮瓣修复口腔缺损区域,并将原本计划使用的SCIA浅支皮瓣改制为全厚皮片,用于修复前臂供区的缺损。所有患者的髂部创口均能直接缝合,并实现了早期愈合,且瘢痕隐蔽。结论: 通过解剖SCIA浅支作为血管蒂制备皮瓣的过程相对简单,能够有效满足一般口腔癌患者术后软组织缺损的修复需求。此外,该方法在髂部供区留下的瘢痕较为隐蔽,并发症较少,具有一定的临床推广价值。

关键词: 旋髂浅动脉浅支皮瓣, 旋髂浅动脉浅支, 缺损修复

Abstract: Objective: To explore the clinical application value of the superficial branch of superficial circumflex iliac artery (SCIA) flap by reviewing the clinical data of 13 patients with oral cancer. Methods: In 13 patients, the superficial branch of the SCIA flap, which only supplied and dissected the superficial branch of the SCIA, was used to reconstruct the defect after radical surgery of oral cancer. Patients were followed up for 3-6 months to complete the evaluation of the repair effect. Results: The superficial branch of the SCIA was found in all 13 patients. In each patient, the superficial branch of the SCIA flap was successfully prepared by only dissecting the superficial branch of the SCIA. The average area of the dissected flaps was (38.00±8.48) cm², and the average length of the pedicle was (6.70±0.71) cm. Twelve patients had successful outcome with satisfactory form of the flap and good recovery of functions such as phonetic and eating functions. One patient failed due to vascular thrombosis and was replaced with left radial forearm free flap. Then, the skin paddle of the superficial branch of the SCIA flap was fixed into a full-thickness skin graft to repair the defect in the forearm area. The wounds in the iliac region were directly sutured and achieved primary healing with a hidden scar in all patients. Conclusion: The superficial branch of the SCIA flap has a simple preparation process and can meet the general requirements for the reconstruction of soft tissue defects after oral cancer radical surgery. The flap only leaves a hidden scar in the iliac region and has low donor site morbidity. It is worthy of clinical popularization.

Key words: the superficial branch of the SCIA flap, the superficial branch of SCIA, reconstruction

陈欣, 孙亚威, 韩生伟, 梁易, 蒲玉梅, 黄浩浩, 孙国文. 13例旋髂浅动脉浅支皮瓣修复口腔癌术后软组织缺损的回顾性研究[J]. 口腔医学研究, 2025, 41(8): 685-689.

CHEN Xin, SUN Yawei, HAN Shengwei, LIANG Yi, PU Yumei, HUANG Haohao, SUN Guowen. Retrospective Study of 13 Cases of Soft Tissue Defects after Oral Cancer Resection Repaired with Superficial Branch of Superficial Circumflex Iliac Artery Flap[J]. Journal of Oral Science Research, 2025, 41(8): 685-689.

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13例旋髂浅动脉浅支皮瓣修复口腔癌术后软组织缺损的回顾性研究

Retrospective Study of 13 Cases of Soft Tissue Defects after Oral Cancer Resection Repaired with Superficial Branch of Superficial Circumflex Iliac Artery Flap

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