摘要
目的观察延长下斜方肌肌皮瓣修复颅底缺损的效果。方法 11例颅底肿瘤切除后的缺损患者,其中男性9例,女性2例。恶性肿瘤9例,良性肿瘤2例,修复均与手术同期完成。结果 7例患者Ⅰ期愈合,3例皮瓣远端部分坏死,1例切口裂开。恶性肿瘤患者的1年生存率为100%,2年生存率为67%。以上术式功能修复效果好,修复局部有不同程度的塌陷畸形,外形效果一般。结论延长下斜方肌肌皮瓣术式可用于颅底肿瘤切除后缺损的Ⅰ期修复,功能效果好,外形效果一般。
Objective To observe the clinical outcomes of the reconstruction of the skull base defect with the lower trapezius musculocutaneous flap. Methods Eleven patients with skull base tumors,including 9 males and 2 females,were enrolled into this study.Among them,nine patients had malignant tumors and 2 had benign ones.The reconstructions were performed in the same stage while the tumors were resected. Results The first-stage healing was found in 7 patients.Second-stage healing occurred in 4 patients,among whom 3 patients had skin necrosis in distant part of the flaps and 1 wound dehiscence.All patients had satisfied functional results.The 1-year survival rate was 100% and 2-year survival rate was 67%. Conclusion The lower trapezius musculocutaneous flap is a useful local pedal flap in skull base reconstruction.The functional results were satisfying.
出处
《首都医科大学学报》
CAS
北大核心
2011年第6期750-753,共4页
Journal of Capital Medical University
关键词
颅底外科
重建
下斜方肌肌皮瓣
skull base surgery
reconstruction
lower trapezius musculocutaneous flap
