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本研究共完成临床手术8例。6例为下颌骨肿瘤截骨,髂骨同期移植及种植体植入。其中血管化骨移植4块,非血管化骨移植3块。2例为重度牙周病患者,牙槽嵴吸收、唇颊沟消失,临床上无法行传统的义齿修复者。本组病例观察最长近1年,经临床随访及X线片检测,血管化和非血管化移植骨生长良好,种植体与移植骨之间骨性结合,无射线透射阴影,术后亦无感染发生。提示血管化骨移植和非血管化骨移植同期行种植体植入是可行的。 本科自1993年以来采用自体带血管或游离的髂骨块移植重建下颌骨缺损,并同期植入骨结合式种植体。通过临床1年的观察,种植体与移植骨结合情况良好。
This study completed a total of 8 cases of clinical surgery. Six cases were mandibular tumor osteotomy, iliac bone graft and implant implantation. Among them, 4 were vascularized bone grafts and 3 were non-vascularized bone grafts. 2 cases of patients with severe periodontal disease, alveolar ridge absorption, lip and cheek groove disappeared clinically impractical prosthesis. This group of patients observed the longest nearly 1 year, after clinical follow-up and X-ray examination, vascularized and non-vascularized graft bone growth well, bone graft between the graft and bone graft, no radiation transmission shadow, no postoperative Infection occurs. Prompted vascularized bone graft and non-vascularized bone graft implant implantation is feasible. Undergraduate since 1993 with autologous vascular or free iliac bone graft reconstruction of mandibular defects, and the same period implantation of bone-based implant. Through 1-year clinical observation, the implants and graft bone are well combined.