原创《传统皮瓣和穿支皮瓣在面颌缺损整形手术中应用效果比较》：本论文可用于皮瓣论文范文参考下载，皮瓣相关论文写作参考研究。
摘 要 目的：比较分析传统皮瓣和穿支皮瓣在面颌缺损整形手术中的应用效果.方法：选取2016年1月—2017年1月我院口腔颌面外科收治的行面颌缺损整形手术患者100例,按照随机、对照、双盲试验原则分为两组,行传统皮瓣手术的50例患者作为对照组,行穿支皮瓣手术的50例患者作为观察组.结果：观察组患者皮瓣成活率98.00%,显著高于对照组的96.00%（P<0.05）；观察组患者切口长度短于对照组,手术时间、供区愈合时间较对照组明显缩短（P<0.05）；观察组患者皮瓣中心轴线与轴血管垂直线夹角明显小于对照组（P<0.05）,两组断蒂时间比较P>0.05；两组患者术后外形、语言、吞咽功能良好恢复率比较P>0.05.结论：在面颌缺损整形手术中,传统皮瓣和穿支皮瓣在手术风险、皮瓣存活率、术后功能等方面存在一定的共性和差异,临床应根据实际情况选择皮瓣类型.
关键词 穿支皮瓣 传统皮瓣 面颌缺损 整形手术
中图分类号：R622.1 文獻标识码：A 文章编号：1006-1533（2017）21-0050-03
Comparison of the effect of traditional flap and perforator flap in facial plastic surgery*
LIANG Xiangxin1 , YU Xiaobo2 , HUANG Ying3
（1. Department of Oral and Maxillofacial Surgery, Stomatological Hospital affiliated to Jiujiang University, Jiujiang 332000, China； 2. School of Nursing, Jiujiang University, Jiujiang 332000, China； 3. Medical Imaging Center, Stomatological Hospital affiliated to Jiujiang University, Jiujiang 332000, China）
ABSTRACT Objective： To analyze and compare the effect of traditional flap and perforator flap in facial plastic surgery. Methods： One hundred patients with maxillofacial defects treated in our department of oral and maxillofacial surgery were divided into a control group （underwent traditional flap surgery） and an observation group （underwent perforator flap surgery） with 50 cases each based on a randomized, controlled and double-blind trial method. Results： The survival rate of flap was significantly higher in the observation group than in the control group （98% vs 96%, P<0.05）. The length of incision and time for operation and healing of the donor site were shorter in the observation group than in the control group （P<0.05）. The angle between the axis of the flap and the axis of the vessel was significantly smaller in the observation group than in the control group（P<0.05）. There were no significant differences in the time for pedicle breaking and the appearance, speech and the recovery rate of swallowing function between the two groups （P>0.05）. Conclusion： There exist some similarities and differences in facial plastic surgery in the surgical risk, flap survival rate and postoperative function between the traditional flap and perforator flap. So the type of flap should be carefully chosen based on the actual situation.
KEy WORDS perforator flap； traditional flap； maxillofacial defect； plastic operation
颌面部缺损是口腔颌面外科常见疾病之一[1],发生原因包括先天性和后天性因素,前者包括先天性发育畸形、唇腭裂、颌骨肿瘤等,影响患者的语言功能、咀嚼功能和美观功能；后者包括外伤或颌面肿瘤术后缺损,降低患者的生活质量,引起患者心理障碍和人格方面的改变.整形手术是颌面部缺损修复重建的常见手段,以股前外侧皮瓣制备术为主.由于颌面部解剖结构复杂,肿瘤根治术后组织缺损不规则,移植的皮瓣难以完全匹配组织缺损,影响修复效果.有学者提出,改良皮瓣设计和制备方法十分重要,随之衍生出大量皮瓣类型,术式更加灵活多样,大大提高了颌面部缺损修复重建的效果.为比较分析传统皮瓣和穿支皮瓣在面颌缺损整形手术中的应用效果,本文收集了100例面颌缺损患者资料,报道如下.
皮瓣论文参考资料：
结论：传统皮瓣和穿支皮瓣在面颌缺损整形手术中应用效果比较为关于皮瓣方面的论文题目、论文提纲、皮瓣和植皮哪个风险大论文开题报告、文献综述、参考文献的相关大学硕士和本科毕业论文。
