應(yīng)用不同解剖結(jié)構(gòu)基礎(chǔ)救治頜面部火器傷的臨床研究
發(fā)布時(shí)間:2018-05-30 19:03
本文選題:頜面部火器傷 + 骨缺損早期修復(fù); 參考:《解放軍醫(yī)學(xué)雜志》2004年11期
【摘要】:目的 提高頜面部戰(zhàn) (創(chuàng) )傷救治水平和傷員生存質(zhì)量。方法 在先進(jìn)行應(yīng)用解剖研究的基礎(chǔ)上 ,對(duì)火器傷下頜骨不同部位、不同條件的骨缺損 ,采用 3種不同方法進(jìn)行Ⅰ期 (或早期 )植骨 ;對(duì)頜面部復(fù)合軟組織缺損的傷例 ,采用帶血管神經(jīng)及肌蒂的組織瓣轉(zhuǎn)位 ,或游離組織瓣移植 ,進(jìn)行功能性修復(fù)。結(jié)果 傷后Ⅰ期 (或早期 )植骨的成活率為 91 5 % (5 4 / 5 9) ,游離軟組織瓣移植功能重建率為90 7% (88/ 97)。結(jié)論 新的手術(shù)方法設(shè)計(jì)以應(yīng)用解剖學(xué)為基礎(chǔ) ,提高了臨床救治水平。
[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,
本文編號(hào):1956431
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