摘要
目的总结用胎儿骨移植修复颌骨囊肿摘除术后囊腔的手术治疗经验。方法22例患者均在局麻下行囊肿摘除术,按囊腔大小选择并修剪胎儿骨,即刻植入充填囊腔,并严密缝合创口。结果术后切口愈合良好,无感染,无明显排斥反应,X线片检查:术后1周显示植入骨无明显变化;术后1个月显示植入骨与周围颌骨密度相当,无明显吸收;术后3个月显示植入骨与周围颌骨界限模糊;术后半年显示植入骨与颌骨之间无明显缝隙,植入骨区域与周围颌骨密度相近;术后1年显示植入骨与颌骨密度基本一致,骨愈合良好;术后2年以上显示植入骨与颌骨密度一致。结论用胎儿骨移植修复颌骨缺损,损伤小,排斥反应小,疗效显著,克服了其他骨代用品的缺点。
Objective To summarize the surgical experience on repair of jawbone defects after cyst enucleation with embryonic bone transplantation. Methods Embryonic bones selected and tailored according to cyst cavity size were implanted in 22 patients undergoing cyst enucleation, and incisions were sutured closely. Results Incisions restored well without infection, and there was no significant rejection. X-ray examinations showed that implanted bones had no significant changes 1 week after operation;implanted bones had similar density with jawbone around without significant absorption 1 month post operation;there was fuzzy boundary between implanted bone and jawbone 3 months post operation;no obvious gap was showed between implanted bone and jawbone, and the fields of implanted bones had close bone density with jawbone around 6 months after operation;bone density between implanted bone and jawbone around was almost equal and restored well 1 year post opera- tion and became equal 2 year after operation. Conclusions To repair jawbone defects with embryonic bone transplantation has the advantages of small injury, low rejection and significant curative effect.
出处
《中国厂矿医学》
2009年第3期274-275,共2页
Chinese Medicine of Factory and Mine
基金
黑龙江省医疗卫生新技术应用奖(黑卫医证新字2005023号)
关键词
胎儿骨
颌骨囊肿
颌骨缺损
移植充填
Embryonic bone
Jaw cyst
Jawbone defect
Transplantation
