块状髂骨修复双侧牙槽嵴裂失败原因的回顾性研究  

The Possible Reasons for the Failure of I liac Bone Block Graft to Repair Bilateral Alveolar Cleft:A Retrospective Study

作　　者：茅传青 林智霖 赖永圳 卢萌[1] 王承勇[1] 陈伟辉[1] MAO Chuanqing;LIN Zhilin;LAI Yongzhen;LU Meng;WANG Chengyong;CHEN Weihui(Department of Stomatology,Fujian Medical University Union Hospital,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院口腔科,福州350001

出　　处：《福建医科大学学报》2023年第4期295-299,共5页Journal of Fujian Medical University

基　　金：福建省科技厅社会发展引导性(重点)项目(2019Y0021)。

摘　　要：目的探讨块状髂骨移植修复双侧牙槽嵴裂失败的可能原因。方法回顾性分析2019年8月—2021年8月33例行块状髂骨移植修复双侧牙槽嵴裂患者的临床资料,通过查阅临床病历资料、影像资料、手术记录及相关数码照片,分析患者的性别、年龄、尖牙萌出、分期植骨及牙龈生物型等因素与牙槽植骨失败的相关性。结果共纳入33例双侧牙槽嵴裂,男女比例为2∶1,失败6例。厚龈生物型患者双侧牙槽嵴裂植骨失败率(5.0%)低于薄龈生物型(38.5%),差别有统计学意义(P<0.05)。结论牙龈生物型可能是导致双侧牙槽嵴裂植骨修复失败的关键因素之一,临床上应注意对此类型的评估。Objective To investigate the possible reasons for the failure of iliac bone block graft to repair the bilateral alveolar cleft.Methods A retrospective study was conducted on the 33 patients who received iliac bone block transplantation to repair bilateral alveolar cleft from August 2019 to August 2021.The correlation between the failure of alveolar bone grafting and the factors such as gender,age,canine eruption,staged bone grafting and gingival biotype was statistically analyzed by revisiting the clinical medical records,image data,surgical records,and relevant digital photos.Results In this study,33 patients with bilateral alveolar cleft were included,the male-to-female ratio was 2∶1,and 6 of them failed.The bone graft failure rate of the thick gingival biotype(5.0%)was lower than that of the thin gingival biotype(38.5%),and the difference between them was statistically significant(P<0.05).Conclusion The gingival biotype may be one of the key factors leading to the failure of bone graft repair of bilateral alveolar cleft,which should be taken cautiously in the clinical practice.

关 键 词：牙槽嵴裂植骨 唇腭裂 髂骨 术后并发症 骨再生 

分 类 号：R781[医药卫生—口腔医学]