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目的研究不同游离组织瓣对耳鼻喉头颈肿瘤患者术中缺损与修复的应用价值。方法选择2013年4月~2015年4月我院收治的68例耳鼻喉头颈肿瘤患者作为研究对象,将患者随机分为对照组和观察组两组,每组各34例。对照组患者采用胸大肌肌皮瓣进行修复,观察组患者采用不同游离组织瓣进行修复。比较两组患者伤口的修复效果、术后并发症的发生率以及患者的生活质量评分。结果观察组患者疗效为优者21例,其疗效的优良率为97.06%,明显优于对照组的12例、79.41%;两组患者均出现了术后感染、皮瓣坏死、轻度出血等并发症,但观察组患者并发症的总出现率为11.76%,显著低于对照组的32.35%;观察组患者心理状况、身体机能、社会功能以及综合评分均显著高于对照组,差异均有统计学意义(均P<0.05)。结论不同游离组织瓣修复软组织缺损的效果更好,能有效降低患者术后并发症的出现率,提高患者的生活质量评分,安全性好,值得临床推荐。
Objective To study the value of different free flap on the patients with otolaryngology and head and neck cancer during operation. Methods From April 2013 to April 2015, 68 patients with otolaryngology and head and neck cancer treated in our hospital were selected as the research object. The patients were randomly divided into control group and observation group, 34 cases in each group. Control group of patients with pectoralis major myocutaneous flap repair, the observation group of patients with different free flap tissue repair. The wound healing, the incidence of postoperative complications and the quality of life were compared between the two groups. Results In the observation group, 21 cases were treated with excellent curative effect, the effective rate was 97.06%, which was significantly better than that of the control group (12 cases, 79.41%). Postoperative infection, skin flap necrosis, mild bleeding and so on occurred in both groups Complications, but the total incidence of complications in the observation group was 11.76%, significantly lower than the control group 32.35%; the observation group patients psychological status, physical function, social function and comprehensive score were significantly higher than the control group, the difference was Statistical significance (all P <0.05). CONCLUSION: The effect of different free tissue flap on repairing soft tissue defect is better. It can effectively reduce the incidence of postoperative complications and improve the quality of life of patients, which is safe and worthy of clinical recommendation.