血管化腓骨瓣修复下颌骨缺损的临床研究  

Clinical study on reconstruction of mandibular defect by vascularized fibular free flap

作　　者：常显亭[1] 林勇[1] 

机构地区：[1]河南省濮阳市油田总医院口腔科,457001

出　　处：《中国实用医刊》2009年第4期20-21,共2页Chinese Journal of Practical Medicine

摘　　要：目的评价血管化腓骨瓣游离移植修复下颌骨缺损的临床治疗效果。方法对12例下颌骨大部缺损患者应用血管化腓骨瓣游离移植整复。以腓动静脉为血管蒂切取腓骨瓣，根据下颌骨缺损的形态特点对腓骨进行截骨塑形，行血管蒂吻合，微型钛板进行移植骨坚固内固定。结果12例腓骨瓣移植均获得成功，成活率100％，术后3个月复查，患者面型恢复良好，开口度达到三横指，无语言功能障碍，咀嚼功能基本正常，供区无明显并发症出现。结论腓骨瓣是重建下颌骨缺损的理想组织瓣，血管化腓骨瓣移植是修复重建下颌骨缺损最有效的方法之一．Objective To evaluate the clinical effect of reconstruction of mandibular defects by vascularized fibular free flap. Methods Vascularized fibular free flaps were used to reconstruct mandibular defects in 12 cases. The fibular free flaps, harvested with fibularvessels, were remodeled based onthe mandibular defects. Template and prepared - fixed reconstruction plate were made, the grafted bone placed precisely and then rigidly fixed with titanium miniplate. Results The fibular flaps were transplan- ted successfully with survival rate of 100% in 12cases. All the patients were recovered satisfactorily without significant complications. Conclusions The vascularized fibular free flap transplantation is an ideal therapy for reconstruction of mandibular defects by providing abundant bone tissue with satisfactory profile and low complication.

关 键 词：血管化腓骨瓣 游离移植 下颌骨缺损 

分 类 号：R782.4[医药卫生—口腔医学] R779.64[医药卫生—临床医学]