组织工程与重建外科杂志2018，Vol.14Issue(5)：272-274,3.DOI:10.3969/j.issn.1673-0364.2018.05.010
颈阔肌肌皮瓣在颌面部创伤修复中的应用
Application of Platysma Musculocutaneous Flap in the Repair of Maxillofacial Trauma
摘要
Abstract
Objective To explore the clinical efficacy of platysma musculocutaneous flap in the repair of maxillofacial trauma. Methods A total of 125 patients with maxillofacial trauma treated in our hospital from June 2015 to December 2017 were retrospectively analyzed. Sixty -three patients were treated with platysma musculocutaneous flap as the experimental group, while 62 patients were treated with anterolateral thigh musculocutaneous flap as the control group. The operation time, intra-operative blood loss, hospitalization days, donor wound healing time, wound healing time, maxillofacial function score and complication rate were compared between the two groups. Results The operation time, intra-operative blood loss and wound healing time of the donor side in the experimental group were significantly lower than those in the control group (P<0.01). There was no significant difference in the length of hospital stay and wound healing time between the two groups (P>0.05). The score of maxillofacial function in the experimental group was significantly higher than that in the control group (P<0.01). The skin flap necrosis rate (3.17% vs. 11.29%) and the complication rate (12.70% vs. 24.9%) of the experimental group were both significantly lower than that of the control group (P<0.05). Conclusion Repairing the maxillofacial trauma with the platysma musculocutaneous flap can significantly reduce the intra-operative risk, improve the prognostic function of the maxillofacial region and reduce complications. It is worthy of clinical promotion.关键词
颈阔肌肌皮瓣/股前外侧肌皮瓣/颌面部创伤/修复Key words
Platysma musculocutaneous flap/Anterolateral thigh musculocutaneous flap/Maxillofacial trauma/Repair分类
医药卫生引用本文复制引用
刘莉,刘宏超..颈阔肌肌皮瓣在颌面部创伤修复中的应用[J].组织工程与重建外科杂志,2018,14(5):272-274,3.基金项目
邯郸市科学技术研究与发展计划(1220108088-11). （1220108088-11）
