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牙槽嵴裂手术修复技术改进的临床探讨

Clinical effect of modified alveolar cleft repair with bone grafting

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【作者】 吴烨谢福平刘欢欢牛刚陈嘉民林李嵩

【Author】 WU Ye;XIE Fu-ping;LIU Huan-huan;NIU Gang;CHEN Jia-min;LIN Li-song;Department of Oral and Maxillofacial Surgery,Affiliated Stomatological Hospital of Fujian Medical University;Department of Oral and Maxillofacial Surgery,The First Affiliated Hospital of Fujian Medical University;

【机构】 福建医科大学附属口腔医院口腔颌面外科福建医科大学附属第一医院口腔颌面外科

【摘要】 目的 :探讨改良牙槽突裂修复术的临床疗效。方法 :对2008—2016年收治的41例牙槽突裂患者,从手术切口、植骨床制备、取骨、植骨方法等多方面进行改进,总结临床效果。结果:手术成功率为92.8%;术后随访6~12个月,无明显供骨区并发症。结论:微创制取的条块状髂骨松质骨块成骨效果好,手术创伤小。植骨床应用"Z"瓣,可提高成骨效果,降低术后植骨区并发症。

【Abstract】 PURPOSE: To evaluate the clinical effect of improved alveolar cleft repair with bone grafting. METHODS:Forty one cases with alveolar cleft treated by modified operation between 2008-2016 were included. The modified techniques were as follow: incision design, preparation of bone graft bed, bone removal and bone grafting, etc. The therapeutic effect was analyzed. RESULTS: The successful rate was 92.8%. After 6-12 months of follow-up, bone graft survived well with no obvious complications. CONCLUSIONS: Iliac bone is a good source for bone graft. Improvement of tight tension-free suture in bone bed is the key to surgical success.

【关键词】 牙槽嵴裂髂骨松质骨植骨床
【Key words】 Alveolar cleftIliac cancellous boneBone bed
【基金】 福建省自然科学基金(2014J01316);福建省医学创新课题(2014-CX-21);福建省卫生系统中青年骨干人才培养项目(2015-ZQN-ZD-27);福建省教育厅基金(JA11125,JAS151275)
  • 【文献出处】 上海口腔医学 ,Shanghai Journal of Stomatology , 编辑部邮箱 ,2017年03期
  • 【分类号】R782.1
  • 【被引频次】5
  • 【下载频次】117
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