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目的探讨舌瓣及颊脂垫瓣在老年颊部缺损患者中的临床治疗价值。方法选取2005年3月～2010年12月在某院就诊并且进行颊部缺损修复的45例老年患者采取舌瓣(舌瓣组,20例)及颊脂垫瓣(颊脂垫瓣组,25例)修复,术后定期随访观察创面愈合情况及术后并发症。结果术后12个月随访,舌瓣组显效率80.00%,好转率20%,有效率100.00%,颊脂垫瓣组显效率72.00%,好转率20%,有效率92.00%,比较显效率、好转率、有效率差异均无统计学意义(P﹥0.05);舌瓣组并发症发生率15.00%,颊脂垫瓣组并发症发生率16.00%,并发症发生率之间差异无统计学意义(P﹥0.05)。结论舌瓣及颊脂垫瓣不同修复体对老年颊部缺损患者进行修复,疗效满意,创伤均较小,并发症少,临床应用均有较高的临床价值。
Objective To investigate the clinical value of flap and buccal fat pad in the treatment of senile cheek defect. Methods Forty-five elderly patients treated in a hospital from March 2005 to December 2010 underwent cheek flap repair (flap group, 20 cases) and buccal fat pad flap (buccal fat pad flap group, 25 Cases) repair, regular follow-up postoperative wound healing and postoperative complications. Results After 12 months of follow-up, the effective rate of the flap group was 80.00%, the improvement rate was 20%, the effective rate was 100.00%, the effective rate was 72.00%, the improvement rate was 20% and the effective rate was 92.00% (P> 0.05). The complication rate in the valve group was 15.00%, the complication rate in the buccal pad group was 16.00%, and there was no significant difference in the complication rate between the two groups (P> 0.05). Conclusions The different repair of the flap and buccal fat pad flap repair the aged patients with cheek defect, with satisfactory curative effect, less trauma and fewer complications, all of which have high clinical value.