| 魏凌飞,萨其拉,贾鑫宇,等.头颈部肿瘤术后放射治疗对皮瓣重建的影响研究进展[J].中华放射医学与防护杂志,2026,46(4):421-426.Wei Lingfei,Sa Qila,Jia Xinyu,et al.Advances in research on the impacts of postoperative radiotherapy on flap reconstruction for head and neck cancers[J].Chin J Radiol Med Prot,2026,46(4):421-426 |
| 头颈部肿瘤术后放射治疗对皮瓣重建的影响研究进展 |
| Advances in research on the impacts of postoperative radiotherapy on flap reconstruction for head and neck cancers |
| 投稿时间：2025-04-10 |
| DOI：10.3760/cma.j.cn112271-20250410-00134 |
| 中文关键词: 头颈部肿瘤|皮瓣重建|术后放射治疗|并发症 |
| 英文关键词:Head and neck cancer (HNC)|Flap reconstruction|Postoperative radiotherapy|Complication |
| 基金项目:内蒙古自治区自然科学基金项目(2023LHMS08060);内蒙古医科大学附属医院博士科研项目(2022NYFYBS006);2024年草原英才滚动支持个人项目 |
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| 中文摘要: |
| 头颈部肿瘤根治性手术常因广泛组织缺损需行皮瓣移植修复术,以恢复患者的功能和外观。基于肿瘤生物学特性,此类患者后续多需要放射治疗来降低复发风险,而术后放射治疗的靶区勾画、放疗剂量、是否同步化疗以及是否会导致皮瓣并发症的风险增加是困惑临床医生的现实问题。本文就头颈部肿瘤皮瓣重建术后放射治疗的文献进行综述,为该问题的临床决策提供参考。 |
| 英文摘要: |
| Radical surgery for head and neck cancers (HNCs) frequently causes extensive tissue defects. In this case, flap transplantation is required to restore the patients' functions and appearance. The biological characteristics of HNC indicate that radiotherapy is frequently needed for the patients to reduce the risk of recurrence. However, clinicians are often confused with practical challenges regarding postoperative radiotherapy, including target volume delineation, radiotherapy dosage, the necessity of concurrent chemotherapy, and the potential of the increasing risk of flap-related complications. This study reviews existing literature on radiotherapy for head and neck tumors after flap reconstruction, aiming to provide a reference for clinical decision making. |
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