吻合血管的骨移植及钛板内固定修复下颌骨缺损  

Reconstruction of maxillary defect with vascularized bone graft and internal fixation of titanium plate

作　　者：陈涌[1] 张莉[1] 肖文芝[1] 段瑞平[1] 

机构地区：[1]云南省红十字会医院口腔颌面外科,昆明650021

出　　处：《中华医学美学美容杂志》2003年第3期159-161,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　探讨吻合血管的游离髂骨或腓骨移植及钛板坚强内固定在修复下颌骨缺损中的临床应用效果。方法　选择 7例以旋髂深动静脉为蒂的游离髂骨肌瓣和 2例以腓动静脉为蒂的游离腓骨肌瓣修复 9例下颌骨缺损 ,并用钛板坚强内固定 ,血管的动静脉蒂分别与颌外动静脉吻合。结果　 9例术后 2～ 4周经放射性核素锝 亚甲基二磷酸盐 (99mTcMDP)扫描证实血供良好 ,移植骨成活。经 6个月至 3年随访 ,移植骨固位稳定。结论　吻合血管的骨移植及钛板内固定是修复下颌骨缺损的最佳选择之一。Objective To study clinical effect of transplantation with vascularized ilium bone and free fibulae, and internal fixation of titanium plate on reconstruction of maxillary defect. Methods Nine cases of maxillary defect were repaired by 7 iliac muscle flaps with deep circumflex iliac artery and vein, 2 cases of fibulae muscle flap with peroneal artery and vein, meanwhile, fixed internally by titanium plate. The vessels were anastomosed with arteria and vena maxillaries externa. Results Nine patients were confirmed by 99m TcMDP 2-4 weeks after operation that the supply of blood was well and the graft bones were survival. By follow-up from 6 months to 3 years after operation, the fixations of graft bones were good. Conclusion Vascularized bone graft and internal fixation of titanium plate is one of the best ways for reconstruction of maxillary defect.

关 键 词：吻合血管 骨移植 钛板 内固定器 下颌骨缺损 下颌修复术 手术方法 

分 类 号：R782.4[医药卫生—口腔医学]