唇腭裂上颌骨牵张成骨术预后的影响因素  

Factors associated with the outcome of maxillary distraction osteogenesis in cleft lip and palate patients

作　　者：斯佳萍 吕林 陈小燕[1] Si Jiaping;Lyu Lin;Chen Xiaoyan(Department of Orthodontic,Stomatology Hospital,School of Stomatology,Zhejiang University School of Medicine&Zhejiang Provincial Clinical Research Center for Oral Diseases&Key Laboratory of Oral Biomedical Research of Zhejiang Province&Cancer Center of Zhejiang University,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属口腔医院正畸科·浙江大学口腔医学院,浙江省口腔疾病临床医学研究中心,浙江省口腔生物医学研究重点实验室,浙江大学癌症研究所,杭州310006

出　　处：《中华口腔医学杂志》2021年第12期1271-1276,共6页Chinese Journal of Stomatology

摘　　要：牵张成骨自20世纪90年代引入口腔颌面外科后,已逐渐成为治疗唇腭裂的重要选择。据研究报道,截骨线的设计、牵张器的类型、上颌骨前移量、手术年龄等因素或将影响牵张成骨术的预后。本文主要针对唇腭裂上颌骨牵张成骨的最新进展,从治疗方法、患者类型和辅助治疗三方面,对可能影响唇腭裂上颌骨牵张成骨疗效和稳定性的相关因素进行阐述,旨在为临床实践中制订恰当的治疗策略,改善手术预后提供参考。Since distraction osteogenesis had been used in maxillofacial surgery in the 1990s,it has become an important option for treating maxillary hypoplasia in cleft lip and palate(CLP)patients.Numerous domestic and international studies reported that the prognosis of distraction osteogenesis might be affected by various factors,including the design of osteotomy line,type of distractor,advancement of maxillary bone and the age of patients,etc.Therefore,the present article reviewed possible impact factors that affect the effectiveness and outcomes of maxillary distraction osteogenesis of CLP from three aspects:treatment methods,type of patients and adjuvant therapy,which hopefully might benefit the formulation of treatment strategies in clinical work and improve the prognosis of distraction osteogenesis.

关 键 词：唇裂 腭裂 牵张成骨 颅面骨发育不全 预后 

分 类 号：R782.2[医药卫生—口腔医学]