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经微创取髂骨植骨术治疗牙槽突裂的临床研究
Clinical study of minimally invasive iliac bone grafting surgery in treatment of alveolar cleft

微创医学 201606期 页码:850-852

作者机构:湖北省咸宁市第一人民医院,咸宁市437000

基金信息:作者简介:丹瑜华(1972~),男,大专,主治医师,研究方向:口腔颌面外科临床。

DOI:DOI:10.11864/j.issn.1673.2016.06.11

  • 中文简介
  • 英文简介
  • 参考文献
目的分析牙槽突裂患者经微创取髂骨植骨术治疗的临床效果。方法将44例牙槽突裂患者按数字表法分为对照组和观察组,每组22例。对照组采用传统法取髂骨植骨术治疗;观察组采用经微创取髂骨植骨术治疗。比较两组疗效。结果观察组患者的总有效率(95.45%)明显高于对照组(72.72%),观察组患者并发症总发生率(13.64%)明显低于对照组(68.18%),差异均有统计学意义(P<0.05);观察组的伤口长度为(0.89±0.11)cm、出血量(48.45±2.13)mL、取骨量(12.25±2.19)g、影响术后活动时间(1.49±0.29)d、手术时间(0.99±0.11)h及术后拆线时间(6.98±0.12)d;对照组伤口长度为(1.03±0.21)cm、出血量(50.23±3.14)mL、取骨量(14.33±2.13)g、影响术后活动时间(1.68±0.31)d、手术时间(1.12±0.12)h及术后拆线时间(7.24±0.34)d, 两组比较,差异有统计学意义(P<0.05)。结论采取微创手术取髂骨植骨术治疗牙槽突裂,临床效果较好,切口小且出血量少,减少术后并发症的发生,促进患者早期康复,有利于患者尽早拆线出院,减少了住院费用。
ObjectiveTo analyze clinical efficacy of minimally invasive iliac bone grafting surgery in treatment of alveolar cleft. MethodsForty-four patients with alveolar cleft were included in this study and randomly assigned into control group and observation group, 22 cases in each group. Patients in the control group were treated with traditional iliac bone grafting, and patients in the observation group were given minimally invasive iliac bone grafting. Therapeutic effect in patients of two groups was compared. ResultsThe overall response rate of patients in the observation group (95.45%) was significantly higher than that in the control group (72.72%), while the total incidence of complications in the observation group (13.64%) was significantly lower than that in the control group (68.18%), the differences were statistically significant (P<0.05). The wound length (0.89±0.11) cm, blood loss (48.45±2.13) mL, the amount of bone mass (12.25±2.19) g, the duration of affecting postoperative activity (1.49±0.29) d, operation time (0.99±0.11) h and postoperative suture removal time (6.98±0.12) d in the observation group were obviously lower than (1.03±0.21) cm, (50.23±3.14) mL, (14.33±2.13) g, (1.68±0.31) d, (1.12±0.12) h and (7.24±0.34) d in the control group, the differences were statistically significant (P<0.05). ConclusionMinimally invasive iliac bone grafting surgery exerts obvious clinical efficacy in the treatment of alveolar cleft, induces small wound and less blood loss, reduces postoperative complications, promotes early rehabilitation and discharge, and lowers hospitalization cost.

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