血管化自体骨移植重建下颌骨的研究  

STUDY ON RECONSTRUCTION OF MANDIBULAR DEFECTS USING VASCULARIZED AUTOGENOUS BONE GRAF-TING

作　　者：周训银[1] 李研[1] 吴殿源[1] 肖茂明[2] 聂苗苗 刘亚国 吴红[1] 刘玉柱[2] 金文山[2] 徐永清[1] 赵文星[1] 

机构地区：[1]成都军区昆明总医院,昆明650032 [2]成都军区第59医院 [3]总装亚运村门诊部 [4]第三军医大学成都军医学院

出　　处：《解放军医学杂志》2003年第7期630-632,共3页Medical Journal of Chinese People's Liberation Army

摘　　要：为探索下颌骨缺损后重建的新途径 ,作者在解剖学研究的基础上 ,采用吻合不同血管的肋骨、髂骨片、大型髂骨瓣及腓骨瓣移植 ,重建下颌骨。结果显示 ,血管化自体骨移植重建下颌骨 76例所移植骨片 (瓣 )完全成活率为 92 % ( 69/ 76)。研究表明 ,血管化自体骨移植与传统自体骨移植相比 ,具有血供丰富、抗感染力强、骨愈合快、成活率高等优点 ,它使骨愈合机制由“爬行取代”过程转化为一般骨折的愈合过程。临床上只要条件许可 。To find a new way of reconstruction of mandibular defects, transplantation of vascularized rib graft, small-sized iliac bone flap, large-sized iliac bone flap, and fibula flap were used to reconstruct mandibular defects. Among 76 cases of mandibular defects repaired with these bone grafts, 69 grafts survived completely(the survival ratio was 92%). Compared with traditional autogenous bone transplantation, vascularized autogenou bone grafting showed a series of advantages, such as rich blood supply of bone flap, stronger anti-infection property, higher survival rate and so on.

关 键 词：下颌骨 骨重建 移植 自体 显微外科手术 血管化 

分 类 号：R782[医药卫生—口腔医学]