牙槽裂植骨术后的临床分级及其影响因素的探讨  

The clinical classification and the influence factors of the postoperative effect of alveolar cleft bone grafting

作　　者：陆斌[1] 王彦亮[1] 孙沫逸[1] 封兴华[1] 白振西[1] 

机构地区：[1]第四军医大学口腔医学院颌面外科,陕西西安710032

出　　处：《临床口腔医学杂志》2004年第8期492-494,共3页Journal of Clinical Stomatology

摘　　要：目的 :提出牙槽裂植骨术术后效果的临床分级标准并分析影响植骨成功的因素。方法 :施行牙槽裂植骨术的唇腭裂 48例进行临床研究 ,探讨植骨区X线影象的临床分级与手术年龄、手术类型、裂隙类型、裂隙数量的关系。结果 :较合理的提出了牙槽裂植骨术术后效果的临床分级标准。 18岁以上年龄组、完全性唇腭裂组、双侧唇腭裂组患者植骨的临床成功率与对应组相比有显著性差异 ,明显低于对应组。结论 :①牙槽裂植骨术是唇腭裂序列治疗不可缺少的组成部分 ;②良好植骨床的形成和植骨区无张力缝合是保证牙槽裂植骨成功的关键 ;植骨时机是植骨成功与否的重要因素。③牙槽裂植骨成功与手术年龄、手术类型、裂隙类型、裂隙数量有关。Objective:To put forward a clinical classificatory standard of the postoperative effect of alveolar bone grafting with mini incision (ABGM) and analyze the factors which influence the result.Method:48 patients with the alveolar cleft were received ABGM by one operator. The effects of bone grafting were evaluated on the radiographs. We also discussed the relation between the author's clinical classification and the patient's age, operative style, cleft style, number of cleft, etc.Result:The clinical classificatory standard recommended in this study is more reasonable than the previous standards. The successful rate of ABGM in the group of patients with over-18-year age, complete cleft lip/palate and bilateral lip/palate cleft was lower than the corresponding groups with apparent difference.Conclusion:①The treatment of alveolar cleft by bone grafting plays an important role in the systematic treatment of the lip and /or palate cleft patients.②It is the key to the success of ABGM to form excellent bone grafting bed and suture the wound closely without tension. The timing of the surgery is the critical factor affecting the quality of alveolar bone grafting. ③ The success or not of the ABGM is related to the patient's age, operation style and cleft style .

关 键 词：唇裂 腭裂 骨移植 序列治疗 牙槽裂 

分 类 号：R782.13[医药卫生—口腔医学]