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论文摘要

非血管化髂骨移植重建下颌骨缺损的临床分析

Analysis of reconstruction using non-vascularized iliac bone graft for patients with mandibular defects

作者:谢富强 孙健

Author:Xie Fuqiang, Sun Jian.

收稿日期:2011-04-23          年卷(期)页码:2012,30(4):411-411-413

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:下颌骨缺损, 非血管化, 下颌骨重建, 髂骨移植, 内固定,

Key words:mandibular defect, non-vascularized, mandibular reconstruction, iliac bone graft, internal fixation,

基金项目:

甘肃省科技支撑计划社会发展类基金资助项目(1011FKCA103);甘肃省卫生行业科研计划基金资助项目(GSWST2011-09)

中文摘要

目的对非血管化髂骨移植重建下颌骨缺损的病例进行临床回顾性分析,探讨其治疗效果及手术注意事项。方法选择因肿瘤和外伤致下颌骨缺损后行自体非血管化髂骨同期移植重建术修复的34例患者为研究对象,分析其手术方法、术后效果及并发症的发生情况。结果采用游离非血管化髂骨同期移植重建下颌骨缺损的34例患者中,小钛板双排内固定31例,重建板内固定3例。34例患者中,成功病例27例(79.41%),良好病例3例(8.82%),失败病例4例(11.76%)。失败原因均为感染而取出植入骨。结论自体非血管化髂骨移植重建术是下颌骨缺损重建的重要方法之一,内固定的方式有小钛板和重建板。

英文摘要

Objective To make a clinical retrospective analysis of reconstruction using autogenous non-vascularized iliac bone graft for patients with mandibular defects, and then to evaluate the treatment effectiveness and operation announcements of this method. Methods 34 patients who were suffered from discontinued mandibule because of tumor or trauma, were treated with autogenous non-vascularized iliac bone graft. The surgery technique, postoperative outcomes and complications were analyzed. Results In 34 patients adopted non-vascularized iliac bone graft, 31 patients adopted rigid internal fixation with titanium mini plate, 3 patients with bridging titanium plate. 27 bone grafts survived completely, the overall success rate was 79.41%. 3(8.82%) of the bone grafts healed after infection, 4(11.76%) bone grafts lost because of infection. Conclusion The autogenous non-vascularized iliac bone graft is one of the most important way for the reconstruction of mandibular defects. The methods of internal fixation includes titanium mini pate and bridging titanium plate.

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