论文部分内容阅读
由于显微外科的发展使传统的自体骨移植术得到改进,近年来吻合动脉及其伴行静脉游离植骨手术已不断报告。我科在1983年曾进行游离髂骨复合瓣修复下颌骨缺损手术3例,1例移植骨坏死,2例成功。2例中1例仅吻合动脉亦成活。现报导如下:一、临床资料见表二、手术经过于术前1个月拔除预定截骨处之牙齿,为缩短手术时间,手术人员分三组进行。第一组游离血管,切除下颌病变,待移植骨取下后,用钢丝固定下颌骨断端。第二组取髂骨游离血管肌肉复合组织瓣,例1取对侧髂骨,骨断面朝口内。例2及例3
Due to the development of microsurgery so that the traditional autologous bone graft has been improved in recent years, anastomosis of the arteries and their accompanying vein free bone graft surgery has been reported. Three cases of mandibular defect were repaired with free iliac composite flap in our department in 1983. One case had osteonecrosis of the graft and two cases were successful. In 2 cases, only one anastomosis artery also survived. Are reported as follows: First, the clinical data shown in Table II, surgery after 1 month preoperative removal of the scheduled osteotomy at the tooth, to shorten the operation time, surgical staff divided into three groups. The first group of free blood vessels, removal of mandibular lesions, to be removed after the bone graft, the mandibular fixed ends with steel wire. The second group of iliac free vascularized muscle tissue flap, 1 cases of the contralateral ilium, the cross section of the mouth toward the mouth. Example 2 and Example 3