上颌骨肿瘤部分切除术后的临床即刻修复  

Maxillary clinical immediate restoration after tumor resection

作　　者：王洁[1] 白乐康[1] 李敬敬[1] 李雨轩[1] 翟桐[1] 

机构地区：[1]西安交通大学口腔医院修复科,西安710004

出　　处：《山西医科大学学报》2014年第2期140-142,共3页Journal of Shanxi Medical University

摘　　要：目的探讨上颌骨部分切除术后的临床即刻修复方法。方法选择口腔外科20例因肿瘤行上颌骨部分切除之后行即刻修复的患者,手术拆线后立即取模制作中空式即刻赝复体。结果 16例患者即刻赝复体修复后,赝复体固位稳定性情况较好,能及早恢复部分生理功能;3例患者即刻赝复体修复后,赝复体固位稳定性不良,边缘封闭较差,语音功能较差。1例患者未及时复诊,瘢痕挛缩重,修复体难戴入。结论传统即刻赝复体修复能较好改善患者的生活质量,并为二期永久赝复体制作提供了条件。Objective To explore the method of clinical immediate restoration after the resection of maxillary tumor.Methods Twenty patients with maxillary defect who needed immediate reconstruction after resecting tumor were selected.The cavity-back instant prosthesis was immediately made after the surgeon took the stitches out.Results The prostheses of 16 patients were of good stability and retention,and soon had part of physiological function.Three cases were of bad stability and retention,and the sealing of the edge was so poor that the phonetic function was not improved.One case was not followed up in time,so that the scar contraction was heavy,and the prosthesis was difficult to put in.Conclusion The results suggest that the traditional instant prosthesis could better improve the life of patients,and provide good conditions for the second phase of permanent repair.

关 键 词：上颌骨缺损 即刻赝复体修复 肿瘤切除 

分 类 号：R782.24[医药卫生—口腔医学]