Tạo hình khuyết hổng bằng vạt SCIP sau phẫu thuật cắt nửa lưỡi do ung thư tại Bệnh viện trung ương Huế cơ sở 2: Nhân 1 trường hợp

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Mẫn Trường Phú Hồ, Thanh Xuân Nguyễn, Xuân Hùng Nguyễn, Cảnh Duy Phan, Nhật Huy Trần, Xuân Phú Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 617.4 Surgery by systems

Thông tin xuất bản: Tạp chí Y học lâm sàng - Bệnh viện Trung ương Huế, 2020

Mô tả vật lý: 18-22

Bộ sưu tập: Metadata

ID: 494192

Thêm vào giỏ

Đánh giá hiệu quả của vạt SCIP trong tạo hình khuyết hổng sau phẫu thuật cắt bán phần lưỡi do ung thư. Báo cáo 1 trường hợp lâm sàng sử dụng vạt SCIP để tái tạo cho bệnh nhân khuyết hổng nữa lưỡi sau phẫu thuật ung thư lưỡi tại khoa Ung bướu Bệnh viện Trung ương Huế cơ sở 2. Kết quả: Sau phẫu thuật, bệnh nhân không có tình trạng tụ dịch, nhiễm trùng vết mổ và chảy máu sau mổ, vạt sống tốt. Rút sonde dạ dày sau 10 ngày và xuất viện sau 2 tuần. Đánh giá về mặt chức năng (nói, nuốt) cũng như thẩm mỹ của lưỡi (sự cân xứng) đều có sự cải thiện đáng kể theo các mốc thời gian 1 tháng, 3 tháng và 6 tháng. Kết luận: Vạt SCIP là 1 sự lựa chọn cho các bệnh nhân có khuyết hổng lớn vùng lưỡi sàn miệng, vừa đảm bảo về mặt chức năng cũng như thẩm mỹ cho lưỡi sau tái tạo và cho vị trí lấy vạt. Nhược điểm của vạt là chiều dài cuống vạt ở mức trung bình, đường kính động mạch và tĩnh mạch nhỏ.This study to evaluate the effectiveness of superficial circumflex iliac artery perforator (SCIP) flap in reconstruction after hemiglossectomy due to cancer. The author reports a clinical case using SCIP flap to reconstruct tongue of the patient with half-tongue defects after tongue cancer surgery at Oncology-Palliative care Department of Hue Central Hospital branch 2. Result: The patient did not have accumulating of liquid, wound infection and bleeding after surgery, the flap survived well. The patient was taken nasogastric tube out after ten days and discharged after two weeks. Postoperative functional assessments (speech, swallowing) as well as aesthetic of tongue (symmetry) have significant improvement over the 1 month, 3 months and 6 months. Conclusion: SCIP flap is a choice for the patients with large flaws at tongue and floor of the mouth. It ensures both functional and aesthetic for the regenerative tongue and donor-site. The disadvantage of the flap: the length of the flap is moderate, the diameter of the arteries and veins is small.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR