我科采用“游离肋骨瓣(包括肋骨、肌袖、肋间血管神径束)”及时整复三例下颌骨造釉细胞瘤引起的骨缺损均获成功,近期效果良好。我们有以下几点体会: 一、由于手术时间较长,在切取“游离肋骨瓣”时,为了减少肺部的并发症,不宜作壁层胸膜的同时切取,而应保持胸膜的完整性。 In our department, the use of “free rib flap (including ribs, muscle sleeve, intercostal vascular bundle)” and timely reconstruction of three cases of mandibular ameloblastoma caused bone defects were successful, the recent good results. We have the following experience: First, due to the longer operation time, in the cut “free rib flap”, in order to reduce the complications of the lungs, parietal pleura should not be taken at the same time, but should maintain the integrity of the pleura.