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胸锁乳突肌皮瓣修复
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  sternocleidomastoid flaps
     Infrahyoid myocutaneous flaps were used in 60 cases,platysma flaps in 45 cases,sternocleidomastoid flaps in 59 cases and submental island flaps in 8 cases.
     肿瘤切除术与颈淋巴结清扫术后,应用颈阔肌皮瓣修复45例,胸锁乳突肌皮瓣修复59例,舌骨下肌皮瓣修复60例,颏下岛状瓣修复8例;
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  “胸锁乳突肌皮瓣修复”译为未确定词的双语例句
     A Clinical Study on the Defect Reconstruction with Sternocleidomastoid Flap after Tumor Resection in the Oral and Maxillofacial Region
     胸锁乳突肌皮瓣修复口腔颌面部肿瘤术后缺损的临床研究
短句来源
     Objective To evaluate the effect of sternocleidomastoid island myocutaneous flap applicating in reconstructing defect of head and neck neoplasms after operation.
     目的 评价岛状胸锁乳突肌皮瓣修复头颈部肿瘤切除术后缺损的效果。
短句来源
     2 cases received directly suture, 5 cases received sternocleidomastoid musc le flap reconstruction, 2 cases received pectorlis major muscle flap reconstruct ion, 2 cases received platysma flap reconstruction, 2 cases received free forear m flap with muticore titanium-board reconstruction, 2 cases received larynx-tr acheal dissociation with larynx block out and tracheal fistula.
     其中气管端端吻合2例,胸锁乳突肌皮瓣修复5例,胸大肌肌皮瓣修复2例,颈阔肌皮瓣修复2例,游离前臂皮瓣并多孔钛板修复2例,喉、气管分离喉部封闭、气管造瘘2例。
短句来源
     The defect of the mucosa side was repaired with sternocleidomastoid island myocutaneous flap which blood supply was from thyroidea superior artery,occipitalis artery and carotis extera vein; of the skin side with forehead skin flap which blood supply was from temporalis superficialis artery and vein. The size of the sternocleidomastoid island myocutaneous flap was 5 cm×3 cm,of the forehead skin flap 10 cm×6 cm.
     以甲状腺上血管、枕动脉和颈外静脉胸锁乳突肌肌支为血管蒂的胸锁乳突肌皮瓣修复颊黏膜面,以颞浅血管为血管蒂的岛状额瓣修复颊部皮面,皮瓣大小分别为5 cm×3 cm和10 cm×6 cm。
短句来源
     Methods: From 1998 to 2003,records of 39 cases were reviewed,whose soft tissue defects after resection of buccal carcinoma were repaired with platysmal myocutaneous flaps(12 cases),tongue flaps(9 cases),forehead flaps(10 cases),pectoralis major myocutaneous flaps(3 cases),submental island flaps(2 cases),palatal flap(1 case),sternocleidomastoide myocutaneous flap(1 case). All cases were followed up for 3 years.
     方法:回顾性分析1998年-2003年,39例颊癌术后缺损行带蒂瓣修复的病历资料,其中颈阔肌瓣修复12例,舌瓣修复9例,额瓣10例,胸大肌瓣3例,颏下岛状皮瓣2例,腭瓣、胸锁乳突肌皮瓣各1例,舌瓣联合胸锁乳突肌皮瓣修复缺损1例。
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  相似匹配句对
     Sideburns Reconstruction with Expanded Scalp Flap
     扩张修复鬓角缺损
短句来源
     CLINICAL EXPERIENCE OF FLAP APPLIANCE IN SOFT TISSUE DEFECTS OF UPPER EXTREMITY
     上肢软组织缺损的修复
短句来源
     REPAIR OF SOFT TISSUE DEFECT WITH COMBINED SKIN FLAP
     联合修复软组织缺损
短句来源
     REPAIR OF HYPOSPADIAS WITH SCROTAL FLAP
     利用阴囊修复尿道下裂
短句来源
     CLASSIFICATION OF FINGER FLAPS AND ITS USE IN EMERGENCY TREATMENT FOR FINGER INJURIES
     手指分类和急诊修复
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Objective To evaluate the effect of sternocleidomastoid island myocutaneous flap applicating in reconstructing defect of head and neck neoplasms after operation. Methods We used sternocleidomastoid island myocutaneous flap to restore defect postoperation of head and neck neoplasms for 9 patients. Five patients used flap to reconstruct defect of oral mucosal, one case pucker myocutaneous flap, part of it restore oral mucosal defect, part restore skin defect of cheek, the others reconstruct defect of cheek...

Objective To evaluate the effect of sternocleidomastoid island myocutaneous flap applicating in reconstructing defect of head and neck neoplasms after operation. Methods We used sternocleidomastoid island myocutaneous flap to restore defect postoperation of head and neck neoplasms for 9 patients. Five patients used flap to reconstruct defect of oral mucosal, one case pucker myocutaneous flap, part of it restore oral mucosal defect, part restore skin defect of cheek, the others reconstruct defect of cheek or parotid gland. Seven cases used polyhole titanium to reconstruct mandible bone at the same time. Results Eight cases used sternocleidomastoid island myocutaneous flap survival postoperation, one case's flap appeared necrosis of distant part and recover after one half month. Conclusion Pedical sternocleidomastoid island myocutaneous flap can provide huge flap supply, survival rate higher, easy to execute and not complex, it is suitable for clinical doctors to reconstruct defect after operation for head and neck tumors.

目的 评价岛状胸锁乳突肌皮瓣修复头颈部肿瘤切除术后缺损的效果。 方法 应用岛状胸锁乳突肌皮瓣一期修复头颈肿瘤术后缺损 9例。其中 5例用肌皮瓣修复口腔黏膜缺损 ,1例用肌皮瓣折叠部分修复口腔黏膜缺损、部分修复面颊部皮肤缺损 ,3例修复面颊部或腮腺区皮肤缺损。有7例配合使用多孔钛板修复下颌骨的缺损。 结果  8例岛状胸锁乳突肌肌皮瓣全部成活 ,1例皮瓣远端部分坏死 ,术后 1个半月愈合。 结论 带血管蒂的岛状胸锁乳突肌皮瓣可提供面积较大皮瓣 ,并具有成活率较高且制作容易等优点 ,适用于修复因头颈肿瘤切除术后的缺损。

BACKGROUND &OBJECTIVES: At present head and neck surgeons from m an y countries have different opinions on management of well-differentiated thyroi d cancer(WDTC). We will discuss WDTC invading trachea surgical treatment and its clinical significance. METHODS: Retrospectively reviewed clinical data of 15 ca ses WDTC invading trachea, According to WDTC invading extent and grade, there we re 3 kinds of surgical approaches: 1) end to end anastomosis; 2) tissue flap rec onstruction; 3)larynx-tracheal dissociation....

BACKGROUND &OBJECTIVES: At present head and neck surgeons from m an y countries have different opinions on management of well-differentiated thyroi d cancer(WDTC). We will discuss WDTC invading trachea surgical treatment and its clinical significance. METHODS: Retrospectively reviewed clinical data of 15 ca ses WDTC invading trachea, According to WDTC invading extent and grade, there we re 3 kinds of surgical approaches: 1) end to end anastomosis; 2) tissue flap rec onstruction; 3)larynx-tracheal dissociation. RESULTS: 15 cases underwent radica l resection and reconstruct the defect of tracheal or larynx-tracheal dissociat ion. 2 cases received directly suture, 5 cases received sternocleidomastoid musc le flap reconstruction, 2 cases received pectorlis major muscle flap reconstruct ion, 2 cases received platysma flap reconstruction, 2 cases received free forear m flap with muticore titanium-board reconstruction, 2 cases received larynx-tr acheal dissociation with larynx block out and tracheal fistula. 10 cases (10/15, 66.7%) received decannulation postoperation. Patients who were success fully d ecannulated could recover phonation and maintain airway breath. In the 5 patient s who couldnt decannulate, underwent sternocleidomastoid muscle flap reconstru ction,1 underwent free forearm flap with muticore titanium-board reconstruction , 1 underwent pectorlis major muscle flap reconstruction, 2 underwent larynx-tr acheal dissociation, but all of them conld har dly utter voice by compress trach eostowa and needed permanent trcheostoma due to collapse of trachea. The recurre nce rate of our group is 33.33%, 5 years survival rate is 88.89%. CONCLUSIONS: WDTC with trachea invading easily cause dyspnea or emptysis influencing on 5 ye ars survival rate. We should take more actively surgical approach to resect all the tumor and involved organ, thus improve survival rate and reduce recurrence p ostoperation.

背景与目的:目前,对侵犯气管的分化型甲状腺癌(WDTC)外科治疗意见尚不一致,各国专家各抒己见。本文着重探讨WDTC侵犯气管的外科治疗方法及其临床意义。方法:回顾性分析15例WDTC侵犯气管患者的临床资料,根据分化型甲状腺癌侵犯颈段气管的范围及程度,我们将根治性手术切除后气管缺损处理方法分为1)气管端端吻合法;2)组织瓣修复法;3)喉、气管分离法。结果:15例患者均接受根治性手术切除和气管缺损修复重建或喉气管分离处理。其中气管端端吻合2例,胸锁乳突肌皮瓣修复5例,胸大肌肌皮瓣修复2例,颈阔肌皮瓣修复2例,游离前臂皮瓣并多孔钛板修复2例,喉、气管分离喉部封闭、气管造瘘2例。本组病例术后拔除气管套10例,拔管率为66.67%。拔除气管套的患者,恢复喉发音讲话及维持呼吸道通气功能。未能拔除气管套的5例中,胸锁乳突肌肌皮瓣修复1例,前臂皮瓣并多孔钛板修复1例,胸大肌肌皮瓣修复1例。喉、气管分离永久性气管造瘘2例。这5例均丧失喉发音功能,需终生佩带气管套或需作永久性气管造瘘。本组患者肿瘤复发率为33.33%,五年生存率为88.89%。结论:对侵犯气管分化型甲状腺癌患者应采取更为积极的外科治疗,切除所有肿瘤病...

背景与目的:目前,对侵犯气管的分化型甲状腺癌(WDTC)外科治疗意见尚不一致,各国专家各抒己见。本文着重探讨WDTC侵犯气管的外科治疗方法及其临床意义。方法:回顾性分析15例WDTC侵犯气管患者的临床资料,根据分化型甲状腺癌侵犯颈段气管的范围及程度,我们将根治性手术切除后气管缺损处理方法分为1)气管端端吻合法;2)组织瓣修复法;3)喉、气管分离法。结果:15例患者均接受根治性手术切除和气管缺损修复重建或喉气管分离处理。其中气管端端吻合2例,胸锁乳突肌皮瓣修复5例,胸大肌肌皮瓣修复2例,颈阔肌皮瓣修复2例,游离前臂皮瓣并多孔钛板修复2例,喉、气管分离喉部封闭、气管造瘘2例。本组病例术后拔除气管套10例,拔管率为66.67%。拔除气管套的患者,恢复喉发音讲话及维持呼吸道通气功能。未能拔除气管套的5例中,胸锁乳突肌肌皮瓣修复1例,前臂皮瓣并多孔钛板修复1例,胸大肌肌皮瓣修复1例。喉、气管分离永久性气管造瘘2例。这5例均丧失喉发音功能,需终生佩带气管套或需作永久性气管造瘘。本组患者肿瘤复发率为33.33%,五年生存率为88.89%。结论:对侵犯气管分化型甲状腺癌患者应采取更为积极的外科治疗,切除所有肿瘤病变和受累组织器官,以减少术后复发,提高生存率。

Objective To report 4 methods of reconstructing soft tissue defects in oral and maxillofacial regions after tumors resection using cervical pedicle tissue flaps.Methods One hundred seventy-two soft tissue defects were repaired with cervical myocutaneous flaps after resection of oral and facial cancer(165 cases of squamous cell carcinoma and 7 cases of salivary carcinoma).The clinical stage of the tumors was stage Ⅰ in 21 cases,stage Ⅱ in(116 cases) and stage Ⅲ in 35 cases.Primary sites of the lesions were the...

Objective To report 4 methods of reconstructing soft tissue defects in oral and maxillofacial regions after tumors resection using cervical pedicle tissue flaps.Methods One hundred seventy-two soft tissue defects were repaired with cervical myocutaneous flaps after resection of oral and facial cancer(165 cases of squamous cell carcinoma and 7 cases of salivary carcinoma).The clinical stage of the tumors was stage Ⅰ in 21 cases,stage Ⅱ in(116 cases) and stage Ⅲ in 35 cases.Primary sites of the lesions were the tongue(59 cases),buccal mucosa(55 cases),lower gingiva(26 cases),floor of the mouth(25 cases),parotid gland(4 cases) and oropharynx(3 cases).Infrahyoid myocutaneous flaps were used in 60 cases,platysma flaps in 45 cases,sternocleidomastoid flaps in 59 cases and submental island flaps in 8 cases.The sizes of skin paddle ranged from 2.5 cm×5.0 cm to 5.0 cm ×8.0 cm.Results Among 153 survival flaps,there were 55 infrahyoid myocutaneous flaps,40 platysma flaps,52 sternocleidomastoid flaps and 6 submental island flaps.There were 11 cases of total flap necrosis and 8 cases of partial flap necrosis.The success rates were 91.67%(55/60) for infrahyoid myocutaneous flap,88.89%(40/45) for platysma flap,88.14%(52/59) for sternocleidomastoid flap and 75%(6/8) for submental island flap.After a follow-up of 3 11 years(5.7 years on average) among 101 cases local reccurence in 18 cases,cervical reccurence in 4 cases,distance metastasis in 2 cases.The survical rate at 3 years were 83.17%(84/101).Conclusion Cervical pedicle tissue flaps have clinical value in reconstruction of small and medium-sized soft tissue defects after resection of oral and maxillofacial tumors.

目的介绍4种颈部带蒂组织瓣修复口腔颌面部肿瘤切除术后软组织缺损的方法。方法1982年1月~2003年12月,172例口腔颌面部肿瘤,其中口腔黏膜鳞癌165例,唾液腺癌7例。I期21例,Ⅱ期116例,Ⅲ期35例。病变主要部位:舌59例、颊黏膜55例、下颌牙龈26例、口底25例、腮腺4例及口咽区3例。肿瘤切除术与颈淋巴结清扫术后,应用颈阔肌皮瓣修复45例,胸锁乳突肌皮瓣修复59例,舌骨下肌皮瓣修复60例,颏下岛状瓣修复8例;切取肌皮瓣皮岛范围2.5 cm×5.0 cm~5.0 cm×8.0 cm。结果术后153例皮瓣全部成活,其中舌骨下肌皮瓣55例,颈阔肌皮瓣40例,胸锁乳突肌皮瓣52例,颏下岛状瓣6例;完全坏死11例,部分(皮岛1/4~1/2)坏死8例。4种皮瓣成功率分别为91.67%、88.89%、88.14%和75%。101例获随访3~11年,平均5.7年,原位复发18例,颈部复发4例,远处转移2例;3年生存84例,占83.17%。结论颈部带蒂组织瓣适用于修复口腔颌面部肿瘤切除后中小型软组织缺损。

 
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