摘要目的 总结游离组织皮瓣在头颈部肿瘤术后修复重建中应用的临床经验,提高患者的生存质量.方法 回顾性分析2007年3月至2009年3月收治的头颈部恶性肿瘤手术治疗的临床资料,36例患者肿瘤切除术后应用游离组织皮瓣进行重建,恢复吞咽及呼吸功能.其中游离股前外侧皮瓣修复28例,游离前臂皮瓣修复8例.结果 游离股前外侧皮瓣移植成功26例,坏死2例.皮瓣血管蒂长8～18 cm,平均12.5 cm.穿支类型:肌皮穿支25例,肌间隙穿支3例.游离前臂皮瓣8例均成功.36例患者均恢复了正常进食.结论 游离组织皮瓣修复技术可靠,成活率高,供区无严重并发症,是头颈部肿瘤术后修复重建理想的修复皮瓣.

abstractsObjective To summarize the clinical experience of reconstruction by using free flap after operation of head and neck tumor. Method A retrospective review was performed of 36 cases who were operated with free flap to reconstruct postoperative defects in head and neck tumor from March 2007 to March 2009, 28 cases repaired by free anterolateral thigh(ALT) flap, 8 cases repaired by free forearm flap. Results The operations of 26 cases repaired with free ALT flap were successful, 2 cases were necrosis. Vascular pedicle flap was 8-18 cm long, mean 12.5 cm, 25 cases were muscle skin perforator, 3 cases were muscle clearance wear. Eight cases of free forearm flap were successful. All of 36 cases recovered well. Conclusions The successful rate of free flap is perfect, and there is no serious complication in doner-site. The flap can be shaped into various forms. Free flap is an ideal measure to reconstruct hypopharynx and to preserve the laryngeal function.