应用不同解剖结构基础救治颌面部火器伤的临床研究

发布时间：2018-05-30 19:03

  本文选题：颌面部火器伤 + 骨缺损早期修复　； 参考：《解放军医学杂志》2004年11期

【摘要】：目的　提高颌面部战 (创 )伤救治水平和伤员生存质量。方法　在先进行应用解剖研究的基础上 ,对火器伤下颌骨不同部位、不同条件的骨缺损 ,采用 3种不同方法进行Ⅰ期 (或早期 )植骨 ;对颌面部复合软组织缺损的伤例 ,采用带血管神经及肌蒂的组织瓣转位 ,或游离组织瓣移植 ,进行功能性修复。结果　伤后Ⅰ期 (或早期 )植骨的成活率为 91 5 % (5 4 / 5 9) ,游离软组织瓣移植功能重建率为90 7% (88/ 97)。结论　新的手术方法设计以应用解剖学为基础 ,提高了临床救治水平。
[Abstract]:Objective to improve the treatment level of maxillofacial trauma and the quality of life of the wounded. Methods on the basis of applied anatomical study, three different methods were used to carry out primary (or early) bone grafting for mandibular defects in different parts and different conditions of gunshot wounds. In the case of maxillofacial complex soft tissue defect, functional repair was performed by transposition of vascularized nerve and muscle pedicle tissue flap or free tissue flap transplantation. Results the survival rate of stage 鈪，

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