采用双侧下颌牵引成骨术治疗皮罗序列征的研究进展  

Research progress of bilateral mandibular distraction osteogenesis in the treatment of Pierre Robin sequence

作　　者：周嘉玮 崔颖秋[1] 毛喆 王洪涛[1] Zhou Jiawei;Cui Yingqiu;Mao Zhe;Wang Hongtao(Guangzhou Women′s and Children′s Medical Center Affiliated to Guangzhou Medical University,Oral and Maxillofacial Surgery Department,Guangzhou 510120,China)

机构地区：[1]广州医科大学附属广州市妇女儿童医疗中心口腔颌面外科,510120

出　　处：《中华口腔医学研究杂志（电子版）》2021年第4期255-260,共6页Chinese Journal of Stomatological Research(Electronic Edition)

摘　　要：皮罗序列征(PRS)是由小下颌引起舌后坠,继而引发上气道机械性梗阻和喂养困难的一种先天性疾病。重度PRS患者常常因为非手术治疗无效而需手术治疗。近年来,双侧下颌骨牵引成骨术(MDO)已成为治疗PRS最重要的手术方法。目前,各医疗机构间MDO的手术指征、术前设计、手术过程、术后护理及预后效果仍存在差异。本文通过相关文献回顾,对MDO从术前设计到术后护理的整个过程作一综述,总结采用MDO治疗PRS患儿的研究现状,并对目前仍然存在的临床问题进行总结和探讨,以期未来在缓解患儿气道梗阻症状的同时可减少继发颌骨畸形,减少手术并发症并促进成骨质量。Pierre Robin sequence(PRS)is a congenital disease caused by the micrognathia,leading to glossoptosis,which causes mechanical upper airway obstruction and poor oral feeding.Severe PRS patients often need surgical treatment because non⁃surgical treatment is ineffective.In recent years,bilateral mandibular distraction osteogenesis(MDO)has become the most important surgical method for PRS.At present,there are still differences in the surgical indications,preoperative design,surgical procedure,postoperative care and prognosis of MDO among medical institutions.Therefore,this article was to give a systematical introduction about the progress of bilateral MDO from preoperative design to postoperative nursing by reviewing relevant literature.This paper summarized the current research status of PRS patients treated by MDO and discussed some existing clinical problems in the hope of relieving the symptoms of airway obstruction,reducing secondary jaw bone deformity and surgical complications,and promoting the osteogenesis quality of PRS patients.

关 键 词：下颌骨 成骨牵引 皮罗序列征 小颌畸形 

分 类 号：R782[医药卫生—口腔医学]