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目的总结中晚期舌癌根治性切除即时进行舌再造的经验。方法对12例中晚期舌癌患者应用前臂皮瓣(11例)和股前外侧皮瓣(1例)即时修复中晚期舌癌根治性切除后的舌缺损。结果12例皮瓣全部(100%)成活。其中11例再造舌形态良好,功能满意;1例再造舌形态功能欠佳。结论以游离皮瓣修复中晚期舌癌根治性切除后的舌缺损,可较好恢复舌的形态和功能, 提高生存质量。
Objective To summarize the experience of radical resection of tongue in radical resection of advanced tongue cancer. Methods Twelve patients with advanced tongue cancer were treated with forearm flap (11 cases) and anterolateral skin flap (1 case) for the immediate repair of tongue defects after radical resection of advanced tongue cancer. Results All 12 flaps survived (100%). Of the 11 cases, the reconstructed tongue had good morphology and satisfactory function, and one case had poor function of reconstruction tongue. Conclusion Free flaps can repair tongue deformity after radical resection in advanced tongue cancer, which can restore tongue morphology and function and improve quality of life.