中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
24期
53-55
,共3页
异种脱细胞真皮基质膜%齿槽裂%骨移植
異種脫細胞真皮基質膜%齒槽裂%骨移植
이충탈세포진피기질막%치조렬%골이식
Heterogeneous acellular dermal matrix%Alveolar cleft%Bone grafting
目的 在齿槽裂手术中,将异种脱细胞真皮基质膜覆盖齿槽裂植骨区,观察新骨形成状况,评价植骨修复效果.方法 选择67例单侧齿槽裂患者,按治疗方法不同分为对照组和试验组.对照组单纯应用髂骨骨松质移植41例,试验组应用异种脱细胞真皮基质膜加髂骨骨松质移植26例.术后1,3,6,12,18,24个月随访,X线片观察齿槽裂植骨区新骨生成情况.结果 对照组病例术后6个月齿槽裂植骨区新骨形成Ⅰ,Ⅱ,Ⅲ,Ⅳ级分别为15,11,9,6例,齿槽裂植骨成活率为84.5％,临床成功率为63.7％.而试验组病例植骨区新骨形成Ⅰ,Ⅱ,Ⅲ,Ⅳ级分别为13,9,3,1例.齿槽裂植骨成活率为97.8％,临床成功率为84.3％.两组植骨成活率、临床成功率比较差异有统计学意义(P＜0.05).结论 自体髂骨加异种脱细胞真皮基质膜联合应用于齿槽裂植骨术中,可有效提高植骨成功率.
目的 在齒槽裂手術中,將異種脫細胞真皮基質膜覆蓋齒槽裂植骨區,觀察新骨形成狀況,評價植骨脩複效果.方法 選擇67例單側齒槽裂患者,按治療方法不同分為對照組和試驗組.對照組單純應用髂骨骨鬆質移植41例,試驗組應用異種脫細胞真皮基質膜加髂骨骨鬆質移植26例.術後1,3,6,12,18,24箇月隨訪,X線片觀察齒槽裂植骨區新骨生成情況.結果 對照組病例術後6箇月齒槽裂植骨區新骨形成Ⅰ,Ⅱ,Ⅲ,Ⅳ級分彆為15,11,9,6例,齒槽裂植骨成活率為84.5％,臨床成功率為63.7％.而試驗組病例植骨區新骨形成Ⅰ,Ⅱ,Ⅲ,Ⅳ級分彆為13,9,3,1例.齒槽裂植骨成活率為97.8％,臨床成功率為84.3％.兩組植骨成活率、臨床成功率比較差異有統計學意義(P＜0.05).結論 自體髂骨加異種脫細胞真皮基質膜聯閤應用于齒槽裂植骨術中,可有效提高植骨成功率.
목적 재치조렬수술중,장이충탈세포진피기질막복개치조렬식골구,관찰신골형성상황,평개식골수복효과.방법 선택67례단측치조렬환자,안치료방법불동분위대조조화시험조.대조조단순응용가골골송질이식41례,시험조응용이충탈세포진피기질막가가골골송질이식26례.술후1,3,6,12,18,24개월수방,X선편관찰치조렬식골구신골생성정황.결과 대조조병례술후6개월치조렬식골구신골형성Ⅰ,Ⅱ,Ⅲ,Ⅳ급분별위15,11,9,6례,치조렬식골성활솔위84.5％,림상성공솔위63.7％.이시험조병례식골구신골형성Ⅰ,Ⅱ,Ⅲ,Ⅳ급분별위13,9,3,1례.치조렬식골성활솔위97.8％,림상성공솔위84.3％.량조식골성활솔、림상성공솔비교차이유통계학의의(P＜0.05).결론 자체가골가이충탈세포진피기질막연합응용우치조렬식골술중,가유효제고식골성공솔.
Objective To observe the effect of bone repair and evaluate its esthetic outcome with heterogeneous acellular dermal matrix cover the alveolar cleft bone grafting area in the alveolar cleft operation.Methods In 67 cases,unilateral cleft palate,were treated by alveolar cleft conventional surgical method.Cancellous iliac bone grafting were control group,heterogeneous acellular dermal matrix cover the alveolar cleft bone grafting area were treatment group.Radiographs was taken at 1 st,3 rd,6 th,12 th,18 th,24 th month postoperatively to observe the bone regeneration alveolar cleft zone.Results The alveolar cleft graft area new bone formation with Ⅰ,Ⅱ,Ⅲ,Ⅳ grade after 6 months in control group was 15,11,9,6 cases and in treatment group was 13,9,3,1 case.The graft survival rate and success rate (97.8％,84.3％) of treatment group were higher than that of control group (84.5％,63.7％),the difference was statistically significant (P ＜ 0.05).Conclusion The successful rate of operation could be warranted,by the joint application of autogenous iliac bone grafts and heterogeneous acellular dermal matrix in the alveolar cleft operation.
