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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
【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.
- 【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