CAJ | 학술논문

目的探讨牙槽嵴外置法植骨术后继发感染的处理及预防措施.方法回顾2006年1月至2010年5月11例牙槽嵴外置法植骨术后继发感染的病例,总结植骨术后感染出现的时间、临床表现、处理方法以及治疗效果,并提出预防措施.结果 11例植骨术后继发感染平均出现时间为术后15 d,均表现为口腔黏膜瘘或创口裂开;其中3例因感染不愈导致植骨失败,其余8例经综合治疗后,感染均治愈,大部分移植骨块得以保存、成活,并最终完成种植修复.结论植骨术后感染经及时有效的综合治疗,能够挽救并保存移植骨块.要保证植骨的成功,做好围手术期的感染预防至关重要.
목적 탐토아조척외치법식골술후계발감염적처리급예방조시.방법 회고2006년1월지2010년5월11례아조척외치법식골술후계발감염적병례,총결식골술후감염출현적시간、림상표현、처리방법 이급치료효과,병제출예방조시.결과 11례식골술후계발감염평균출현시간위술후15 d,균표현위구강점막루혹창구렬개;기중3례인감염불유도치식골실패,기여8례경종합치료후,감염균치유,대부분이식골괴득이보존、성활,병최종완성충식수복.결론 식골술후감염경급시유효적종합치료,능구만구병보존이식골괴.요보증식골적성공,주호위수술기적감염예방지관중요.
Objective To investigate the treatment and prevention of infection after alveolar crest onlay bone graft. Methods From January 2006 to May 2010, 11 infection cases after onlay graft on alveolar crest were reviewed to evaluate the infection time, clinical situation, treatment measure, and therapeutic effect Results The infection of all 11 cases occurred about 15 days after bone graft, which showed either soft tissue fistulae or bone graft exposure in the oral cavity. Three cases failed because of persistent infection.The infection of the other 8 cases was controlled after a series of comprehensive therapy, and most of the bone graft was reserved and implant restoration finally completed. Conclusions After the effective and comprehensive therapy, infected bone graft can be reserved. But to ensure the survival rate of bone graft, the most important thing is to prevent infection in perioperative period.