供区并发症主观满意度比较：舌癌患者重建中游离桡侧前臂皮瓣与股前外侧皮瓣的比较
Comparison of the subjective satisfaction of the donor site morbidity: Free radial forearm flap versus anterolateral thigh flap for reconstruction in tongue cancer patients.
作者信息
Meng L, Shen J, Liu H, Zhang J-C, Peng X, Mao C, Cai Z-G, Zheng L, Shan X-F, Yan Y-B
机构信息
Department of Oral and Maxillofacial Surgery, Tianjin Stomatological Hospital, 75 Dagu Road, Heping District, Tianjin 300041, PR China,
出版信息
Med Oral Patol Oral Cir Bucal. 2019 Mar 1;24(2):e236-e242. doi: 10.4317/medoral.22679.
BACKGROUND
The purpose of the study was to compare the differences of the subjective satisfaction of the donor site morbidity between the free radial forearm flap (FRFF) and anterolateral thigh flap (ALTF) for tongue reconstruction.
MATERIAL AND METHODS
One hundred and nineteen patients underwent FRFF or ALTF reconstruction were retrospectively evaluated by a standardized self-established donor site morbidity questionnaire which included 5 domains, sensibility, movement disabilities, cosmetics, social activities and general impacts on the quality of life.
RESULTS
The Cronbach's coefficient alpha of the questionnaire was 0.707. The exploratory factor analysis revealed that the 5 items of the questionnaire might load onto two distinct subscales. Patients with ALTF had higher scores in the sensibility, cosmetics and the composite score (P < 0.05). No significant differences were found in the movement disabilities, social activities and general impacts on the quality of life between the two groups (P > 0.05).
CONCLUSIONS
ALTF has the advantage of better results of donor site morbidity, such as sensibility and cosmetics, over FRFF.
背景
本研究旨在比较游离桡侧前臂皮瓣（FRFF）和股前外侧皮瓣（ALTF）用于舌重建时供区并发症主观满意度的差异。
材料与方法
采用自行制定的标准化供区并发症问卷对119例行FRFF或ALTF重建的患者进行回顾性评估，问卷包括感觉、运动功能障碍、美观、社交活动及对生活质量的总体影响5个方面。
结果
问卷的Cronbach's α系数为0.707。探索性因子分析显示问卷的5个条目可归为两个不同的子量表。ALTF患者在感觉、美观及综合评分方面得分更高（P < 0.05）。两组在运动功能障碍、社交活动及对生活质量的总体影响方面差异无统计学意义（P > 0.05）。
结论
与FRFF相比，ALTF在供区并发症如感觉和美观方面具有更好的效果。
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