【摘要】 目的 探讨采用截骨及磨骨相结合的手术方法治疗颌面部骨纤维异常增殖症的临床疗效。方法 回顾性分析自2007年9月至2024年9月，辽宁省人民医院整形美容外科收治17例颌面部骨纤维异常增殖症患者的临床资料，采用截骨及磨骨相结合的手术方法，术中准确设计截骨范围，控制磨钻的力度。结果 17例患者术后均一期愈合，所有患者术后随访6～24个月，术后1年，3例发生再次增生；其余患者均未出现术后严重并发症，效果满意。结论 截骨及磨骨相结合的手术方法能够在更精准去除病灶的同时，更大程度上保护神经功能，并减少术后并发症的发生，是治疗颌面部骨纤维异常增殖症的一种有效术式。更多还原

【Abstract】 Objective To explore the clinical efficacy of combined osteotomy and bone grinding in treating maxillofacial bone fibrous dysplasia. Methods From September 2007 to September 2024,17 patients with maxillofacial fibrous dysplasia were treated with a combination of osteotomy and bone grinding. Results The postoperative follow-up was 6 months to 2 years. All 17 cases of maxillofacial bone fibrous dysplasia in this group did not have serious postoperative complications, and the results were satisfactory. Three cases re-proliferated 6 months to 2 years after surgery. Conclusion Because it can remove the lesion more accurately, the combined operation method of osteotomy and bone grinding can significantly remove the lesion while protecting the nerve function to the greatest extent and reducing complications. It is an effective technique for dysplasia of maxillofacial bone fibers.更多还原