唇、腭侧联合入路修复牙槽突裂的临床初步研究

发布时间：2018-04-26 11:50

本文选题：牙槽突裂 + 植骨　；参考：《国际口腔医学杂志》2017年01期

【摘要】：目的探讨唇、腭侧联合入路修复牙槽突裂的临床效果。方法 45例先天性牙槽突裂患者接受植骨手术修复,其中21例(年龄9~13岁,平均年龄10.3岁)行唇、腭侧联合入路植骨修复(实验组),24例(年龄9~14岁,平均年龄11.2岁)行唇侧入路植骨修复(对照组)。术后1~12个月随访,采用临床回顾性研究的方法比较2组术后疼痛、肿胀程度;牙槽突裂植骨成功率评价的临床分级标准一般以Bergland牙槽突裂植骨分级标准进行评价。结果实验组在术后疼痛、肿胀程度均低于对照组;实验组植骨手术成功率81%,对照组植骨手术成功率42%。结论唇、腭侧联合入路植骨修复牙槽突裂手术创伤小、术后不良反应少,临床效果满意。
[Abstract]:Objective to investigate the clinical effect of combined labial and palatal approach in the repair of alveolar fissure. Methods 45 patients with congenital alveolar process fissure were treated with bone grafting. Among them, 21 cases (age 913 years, mean age 10.3 years) underwent lip repair, and 24 cases (age 914 years old) were treated with combined palatal approach. The average age was 11.2 years old. From 1 to 12 months after operation, the clinical retrospective study was used to compare the degree of pain and swelling in the two groups, and the clinical grading criteria for the success rate of alveolar process fracture were generally evaluated by the Bergland criteria of alveolar process bone grafting. Results the degree of pain and swelling in the experimental group was lower than that in the control group, the success rate of bone grafting in the experimental group was 81%, and the success rate in the control group was 422%. Conclusion combined labial and palatal approach with bone graft for alveolar fissure is less traumatic and less adverse after operation, and the clinical effect is satisfactory.
【作者单位】：南京大学医学院附属口腔医院口腔颌面外科;口腔疾病研究国家重点实验室华西口腔医院唇腭裂外科(四川大学);
【基金】：江苏省卫生厅医学科研项目(H201239) 南京市医学科技发展项目(YKK15117,QRX11125)~~
【分类号】：R782.2

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