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目的探讨下颌骨缺损修复的临床方法和效果。方法我院收治的下颌骨缺损患者69例。41例患者行非血管化自体骨移植,7例患者行血管化髂骨肌皮瓣移植,9例患者行病变骨切除后煮沸再植治疗,12例患者行单纯重建钛板修复进行治疗。观察下颌骨缺损患者的修复效果。结果采用非血管化自体骨移植、血管化髂骨肌皮瓣移植、病变骨切除后煮沸再植治疗患者的效果明显优于单纯重建钛板治疗患者(P<0.05)。结论根据患者的病变情况,选择最佳的下颌骨缺损修复方法 ,可以有效的提高患者的手术成功率,可以有效的预防和消除患者的术后感染,值得临床推广。
Objective To investigate the clinical methods and effects of mandibular defect repair. Methods 69 cases of mandibular defects treated in our hospital. Forty-one patients underwent non-vascularized autologous bone graft. Seven patients underwent vascularized iliac myocutaneous flap transplantation. Nine patients underwent bone resection and replantation. Twelve patients underwent simple titanium plate reconstruction. To observe the effect of mandibular defect repair. Results The results of using non-vascularized autologous bone graft, vascularized iliac myocutaneous flap transplantation, and boiled replantation of diseased bone after replantation were significantly better than those of titanium plate alone (P <0.05). Conclusion According to the patient’s condition, choosing the best method of mandibular defect repair can effectively improve the success rate of surgery in patients, which can effectively prevent and eliminate the postoperative infection in patients and is worthy of clinical promotion.