牙槽嵴裂手术修复技术改进的临床探讨

doi:10.19439/j.sjos.2017.03.010

上海口腔医学 ›› 2017, Vol. 26 ›› Issue (3): 281-284.doi: 10.19439/j.sjos.2017.03.010

牙槽嵴裂手术修复技术改进的临床探讨

吴烨¹, 谢福平¹, 刘欢欢¹, 牛刚¹, 陈嘉民¹, 林李嵩^{1, 2}

1.福建医科大学附属口腔医院口腔颌面外科, 福建福州 350002；
2.福建医科大学附属第一医院口腔颌面外科, 福建福州 350004

收稿日期:2017-03-09 修回日期:2017-04-20 出版日期:2017-06-25 发布日期:2017-07-05
通讯作者: 林李嵩,E-mail:dr_lls@163.com
作者简介:吴烨（1975-）,男,硕士,副主任医师, E-mail:1713746079@qq.com
基金资助:
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）

Clinical effect of modified alveolar cleft repair with bone grafting

WU Ye¹, XIE Fu-ping¹, LIU Huan-huan¹, NIU Gang¹, CHEN Jia-min¹, LIN Li-song^{1, 2}

1.Department of Oral and Maxillofacial Surgery, Affiliated Stomatological Hospital of Fujian Medical University. Fuzhou 350002;
2.Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University. Fuzhou 350004, Fujian Province, China

Received:2017-03-09 Revised:2017-04-20 Online:2017-06-25 Published:2017-07-05

摘要/Abstract

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。

关键词: 牙槽嵴裂, 髂骨松质骨, 植骨床

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.

Key words: Alveolar cleft, Iliac cancellous bone, Bone bed

中图分类号:

R782.1

吴烨, 谢福平, 刘欢欢, 牛刚, 陈嘉民, 林李嵩. 牙槽嵴裂手术修复技术改进的临床探讨[J]. 上海口腔医学, 2017, 26(3): 281-284.

WU Ye, XIE Fu-ping, LIU Huan-huan, NIU Gang, CHEN Jia-min, LIN Li-song. Clinical effect of modified alveolar cleft repair with bone grafting[J]. Shanghai Journal of Stomatology, 2017, 26(3): 281-284.

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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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