非定向诱导的骨髓移植重建颌骨缺损的初步研究  

Study of reconstructing jaw defect by non-direct guide osteotransplant

作　　者：白冰[1] 朱祖武[1] 李容新[1] 王来平[1] 陈梅梅[1] 康然刚[1] 叶茂昌[1] 

机构地区：[1]安徽医科大学附属省立医院口腔医学中心颌面外科,合肥230001

出　　处：《口腔医学》2006年第4期281-283,共3页Stomatology

基　　金：安徽省重点科研项目(03021009);安徽省引进国外技术项目(20033400223);安徽省科技攻关项目(06013130B)

摘　　要：目的以非定向诱导的骨髓移植重建颌骨缺损，寻找再造人体骨组织新方法。方法对13例因颌骨囊肿术后缺损同期施行取自髂骨骨髓-松质骨颗粒移植，厚度0．2min纯钛制作的钛网成形。术后6—20个月随访创口愈合和移植物排异情况。对2例因钛网尖锐边缘刺激致黏膜破溃的移植物进行相应观察。结果随访6～20个月，所有患者均恢复了患前的颌骨形态，质地坚实，无排异反应，供区无畸形和功能障碍，X线及组织学检查提示为非骨性重建。结论取得了填充骨缺损，行使咀嚼压力和恢复外形的效果；纤维组织替代而形成结构质量上的缺陷。Objective To find a new method to reconstruct jaw defect. Methods Jaw defect was reconstructed by non-direct guide osleotransplant in 13 osteocyst patients, fixed by 0.2mm thick pure ti -tanium （Ti）. We investigated 13 patients aged 6 - 20 months after surgery. Results All patients had good shape, no rejection, no deformity or functional disorder in place. X-ray and histology checks suggested it was non-bone reconstruction. Conclusion The new method has an advantage over traditional methods in shape and function, but it has less osteoanagenesis.

关 键 词：非定向诱导 骨髓移植 颌骨缺损 

分 类 号：R782.24[医药卫生—口腔医学]