| 颌骨放射性骨坏死的诊断与治疗:58例临床分析 |
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| 引用本文： | 殷学民,竺涵光,张陈平,叶为民,胡永杰. 颌骨放射性骨坏死的诊断与治疗:58例临床分析[J]. 上海口腔医学, 2003, 12(2): 88-89 |
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| 作者姓名： | 殷学民 竺涵光 张陈平 叶为民 胡永杰 |
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| 作者单位： | 上海第二医科大学,附属第九人民医院,口腔医学院,口腔颌面外科,上海,200011 |
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| 摘 要： | 目的 探讨放射性颌骨骨坏死的诊治手段。方法 对58例放射性颌骨骨坏死患者的临床资料进行回顾分析。结果 保守治疗只能控制放射性颌骨骨坏死的病情。行死骨扩大切除术，放射性颌骨骨坏死的治愈率达93．3％；同期血管化组织瓣移植修复缺损，组织瓣移植存活率达97.1％。结论 放射性颌骨骨坏死的根治须行死骨扩大切除术，同期血管化组织瓣移植可以有效修复颌面部缺损畸形。
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| 关 键 词： | 颌骨 放射性骨坏死 诊断 治疗 临床分析 血管化组织瓣移植 颌面部缺损畸形 |
| 文章编号： | 1006-7248(2003)02-0088-02 |
| 修稿时间： | 2002-09-23 |
Clinical Diagnosis and Treatment of Radionecrosis of the Jaws: An Analysis of 58 Cases |
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| YIN Xue-min,ZHU Han-guang,ZHANG Chen-ping,YE Wei-min,HU Yong-jie.. Clinical Diagnosis and Treatment of Radionecrosis of the Jaws: An Analysis of 58 Cases[J]. Shanghai journal of stomatology, 2003, 12(2): 88-89 |
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| Authors: | YIN Xue-min ZHU Han-guang ZHANG Chen-ping YE Wei-min HU Yong-jie. |
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| Affiliation: | Dept. of Oral & Maxillofacial Surgery, Ninth People's Hospital, Shanghai Second Medical University, Shanghai 200011, China. yinxm@fimmu.com |
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| Abstract: | Objective To probe into the clinical therapy for radionecrosis of the jaws.Methods To make a clinical analy-sis of radionecrosis of jaws in58cases.Results Conservative treatment can control the progress of the diseases.The cure rate of radionecrosis of jaws was93.3%by extensive resection of sequestrum.The survival rate of transplant flap was97.1%by immediate vascularized tissue graft.Conclusion Radionecrosis of jaws can be cured by extensive resection of sequestrum,immediate vascularized tissue grafts can be used to repair the surgical defect.< |
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| Keywords: | Jaw Radionecrosis Diagnosis Treatment |
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