牵张成骨修复火器伤性下颌骨缺损的临床应用  

Distraction osteogenesis techniques for treatment of mandibular defect wounded by firearm

作　　者：陈书军[1] 韩小宪[1] 牛学刚[1] 陈宇轩[1] 林雪梅[1] 刘瑞峰[1] 计宁[2] 李正勇[1] 魏晓总[1] 刘艳坤[1] 

机构地区：[1]解放军252医院口腔科,河北保定071000 [2]解放军252医院医务处,河北保定071000

出　　处：《创伤外科杂志》2011年第1期27-30,共4页Journal of Traumatic Surgery

摘　　要：目的探讨应用牵张成骨技术修复火器伤性下颌骨缺损的临床应用。方法采用牵张成骨方法为3例火器伤致下颌骨缺损患者实施治疗,2例为牙槽突缺损修复,1例为升支缺损修复。结果 3例患者均顺利完成治疗,2例牙槽突缺损得到恢复,1例恢复了下颌升支高度和下颌骨完整性,并在后期接受了正颌治疗,患者对治疗效果满意。结论牵张成骨技术可以有效地修复火器伤下颌骨组织缺损,并为最终重建咬合关系和实现功能性修复提供了基础,为火器伤性颌骨缺损的治疗提供了一条新的修复方法,值得临床借鉴和推广。Objective To study the clinical treatment of mandibular defects wounded by firearm by distraction osteogenesis techniques.Methods A total of 3 patients with mandibular defects wounded by firearm were operated by distraction osteogenesis techniques,including 2 cases of defect in alveolar process and 1 case of defect in ascending ramus.Results All the patients were performed as planned.The amounts of distraction were 7mm,16mm and 25mm respectively.Among them,2 alveolar defects were repaired successfully.The ascending ramus defect gained an ideal reconstruction and the appearance of the mandible was significantly improved.All the patients were satisfactory with the results.Conclusion Distraction osteogenesis is an effective method for the repair of mandibular defects wounded by firearm,which sets a foundation for further occlusal reconstruction and functional repair.This technique provides a new approach for the treatment of mandibular defects wounded by firearm and it shows great potential for clinical application.

关 键 词：火器伤 牵张成骨 颌骨缺损 创伤修复 

分 类 号：R782.4[医药卫生—口腔医学]