预成型钛重建板联合血管化髂骨肌瓣在下颌骨修复重建的应用研究  

Application of prefabricated reconstructive titanic plate combined with vascularized iliac bone-muscular flap in repairing and remodeling mandibular defects

作　　者：魏博[1] 陶冶[1] 冯琳[1] WEI Bo;TAO Ye;FENG Lin(Department of Oral Surgery,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院口腔外科,北京100853

出　　处：《中国医学装备》2018年第6期83-86,共4页China Medical Equipment

摘　　要：目的:研究预成型钛重建板联合血管化髂骨肌瓣在下颌骨修复重建的应用效果。方法:前瞻性选取50例下颌骨肿瘤患者,采用抽签法随机将其分为观察组和对照组,每组25例。观察组患者采用预成型钛重建板联合血管化髂骨肌瓣进行下颌骨精确重建,对照组患者采用虚拟手术辅助血管化髂骨肌瓣进行下颌骨重建,比较两组患者的手术疗效和不良反应的发生。结果:观察组手术疗效优良24例(占96%),明显高于对照组的20例(占80%),差异具有统计学意义(x^2=10.951,P<0.05);观察组不良反应发生5例(占20%),对照组为13例(占52%),观察组明显较对照组低,差异有统计学意义(x^2=10.624,P<0.05)。结论:预成型钛重建板联合血管化髂骨肌瓣技术治疗下颌骨损伤患者的疗效较好,术后不良反应较少。Objective： To investigate the application effect of prefabricated reconstructive titanic plate combined with vascularized iliac bone-muscular flap in repairing and remodeling mandibular defects. Methods： This study is a prospective study, and 50 patients with mandibular tumor were enrolled in the research. And all of them were divided into observation group（25 cases） and control group（25 cases）. The patients of observation group were implemented precise remodeling of mandible by using prefabricated reconstructive titanic plate combined with vascularized iliac bonemuscular flap, and that of control group were implemented remodeling of mandible by using virtual surgery assisted to vascularized iliac bone-muscular flap. And the occurrences of surgical effect and adverse reaction between the two groups were compared and analyzed. Results： The surgical effect of observation group（24 cases, 96%） was significantly higher than that of control group（20 cases, 80%）（x2=10.951, P〈0.05）. And the adverse reaction rate of observation group（5 cases, 20%） was significantly lower than that of control group（13 cases, 52%）（x2=10.624, P〈0.05）. Conclusion： Prefabricated reconstructive titanic plate combined with vascularized iliac bone-muscular flap can obtain better effect in repairing and reconstructing mandibular defects, and its postoperative adverse reactions are less.

关 键 词：下颌骨 骨重建 髂骨 肌瓣 虚拟手术辅助 

分 类 号：R782[医药卫生—口腔医学]