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[头颈部恶性肿瘤切除术后采用一期重建手术的必要性]

[The need for using single-stage reconstructive operations following the removal of malignant head and neck tumors].

作者信息

Blokhin N N, Falileev G V, Matiakin E G, Uvarov A A

出版信息

Vopr Onkol. 1988;34(8):918-25.

PMID:3420835
Abstract

The paper discusses the results of treatment of 102 cases of locally-advanced malignant tumors of the head and neck. Myocutaneous flaps including m.m. platysma, sternocleidomastoideus, trapezius and pectoralis major were used to rectify primary postexcisional defects. Preoperative radiation treatment (30-100 Gy) was given to 92 patients. Primary reconstruction for defects of the head and neck failed to stimulate recurrence development or affect survival as compared to controls. Frequency of complications involved in the said method proved lower while stay at the hospital shorter as compared to other reconstructive procedures. The above method assured a shorter period of rehabilitation and thus saved funds.

摘要

本文讨论了102例局部晚期头颈部恶性肿瘤的治疗结果。采用包括颈阔肌、胸锁乳突肌、斜方肌和胸大肌在内的肌皮瓣修复切除术后的原发性缺损。92例患者接受了术前放射治疗(30 - 100 Gy)。与对照组相比,头颈部缺损的一期重建未引发复发或影响生存。与其他重建手术相比,该方法的并发症发生率较低,住院时间较短。上述方法确保了较短的康复期,从而节省了资金。

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