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[非血管化髂骨移植修复下颌骨缺损患者的分析]

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

作者信息

Xie Fuqiang, Sun Jian

机构信息

Dept. of Stomatology, The Second Hospital Affiliated to Lanzhou University, Lanzhou 730030, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2012 Aug;30(4):411-3.

PMID:22934501
Abstract

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.

摘要

目的

对采用自体非血管化髂骨移植修复下颌骨缺损患者进行临床回顾性分析,进而评估该方法的治疗效果及手术注意事项。

方法

对34例因肿瘤或外伤导致下颌骨连续性中断的患者采用自体非血管化髂骨移植进行治疗。分析手术技术、术后结果及并发症。

结果

34例采用非血管化髂骨移植患者中,31例采用钛微型接骨板坚强内固定,3例采用钛桥接板。27例骨移植完全存活,总体成功率为79.41%。3例(8.82%)骨移植在感染后愈合,4例(11.76%)骨移植因感染而失败。

结论

自体非血管化髂骨移植是下颌骨缺损修复的重要方法之一。内固定方法包括钛微型接骨板和钛桥接板。

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