腓骨折叠技术修复下颌骨缺损的临床研究.pdfVIP

jE立旦壁匿堂!Q!!生筮!!鲞筮兰翅旦蜘i篮』!!翌堂堂!!竺堕丛!盟垒!艘坠!Q!i：!尘：垫：盟!：兰 ．临床研究． 腓骨折叠技术修复下颌骨缺损的临床研究 王晓林 苏明 韩正学 【摘要】 目的评价腓骨折叠技术重建下颌骨的效果以及平行折叠的两段腓骨之间的愈合情况。方法 对 11例采用腓骨折叠技术修复下颌骨缺损的患者进行随访，在曲面断层片上测量术后1个月和术后两年平行折叠的 两段腓骨之间的间隙宽度，评价两段腓骨之间的愈合情况。结果术后1个月远中、正中、近中两段腓骨之间间隙 无显著差别(P=0．089)。结论采用腓骨折叠技术修复下颌骨缺损后，靠近自身下颌骨的截骨断端处骨改建明 显，两段腓骨之间的间隙逐渐缩小。 【关键词】腓骨折叠技术；下颌骨重建；腓骨；骨间愈合 【中图号】R782．24【文献标识码】A【文章编号】1006-673X(2015)04-0205-04 Useofdouble-barrelforthereconstructionofmandibulardefectWANG technique Xiao—lin，SU埘昭，HANZheng· ofOraland Neck Medical School Xll№．Department MaxiUofacial一^k以andOncology，CapitalUniversityofStomatology。 100050 Beijing，China To theeffectof betweenthefibular inthedouble—barrel 【Abstract】0bjectiveinvestigate healing segments forthereconstructionofmandibulardefectsMethodsEleven whounderwentreconstructionofmandibular technique patients were defectswi山doublebarrelvaseularizedfibula reviewed．Measurementsofdouble．fibulaand width graft heisht gap betweenthetwofibularstrutson were two after threesites：mesial panoramicradiographsperformedyears operation，at siteanddistalsite．Measurementswere withthoseobtainedonemonthafter site，middle compared operation．Results Therewas differenceinmeanwidthbetweenonemonthandtwo followatthemesialanddistalsite significant gap years up therewasno differenceatthemiddle The betweentwo (P0．05)，and site(P=0．089)．Conclusion significant