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自体下颌骨切除冰冻再植修复下颌骨缺损的临床探讨
引用本文:梁尚争,张光莹,唐学清,万仲淑,曾正芳,雷光阳,冯天佑. 自体下颌骨切除冰冻再植修复下颌骨缺损的临床探讨[J]. 泸州医学院学报, 1988, 0(6)
作者姓名:梁尚争  张光莹  唐学清  万仲淑  曾正芳  雷光阳  冯天佑
作者单位:附属医院口腔颔面外科,泸州医学院附属医院核医学科,泸州医学院病理科,泸州医学院附属医院口腔颔面外科,泸州医学院附属医院口腔颔面外科,泸州医学院附属医院口腔颔面外科,泸州医学院附属医院口腔颔面外科
摘    要:作者对14例下颌骨肿瘤患者进行下颌骨切除,冰冻再植术(良性10例,恶性4例)。经临床检查、X线照片、99mTC—MDP骨扫描评价,随访时间长达二年半以上,成功11例,感染2例,死亡1例。发现自体肿瘤下颌骨冰冻后再植既能杀灭全部肿瘤细胞,又能诱导新骨生长。并对冰冻治疗下颌骨肿瘤机制、手术成败关键进行了讨论。认为该方法简单、经济,既能恢复下颌骨复杂的功能,又能维持面部外形,是理想的下颌骨缺损修复方法。

关 键 词:下颌肿瘤/外科手术  下颌修复术/方法  冷冻  再植术

CLINICAL EVALUATION OF REIMPLANTATION OF RESECTED AUTOGENOUS MANDIBULAR BONE TREATED BY FREEZING FOR MANDIBULAR BONE RECONSTRUCTION
Liang Shangzheng etal. CLINICAL EVALUATION OF REIMPLANTATION OF RESECTED AUTOGENOUS MANDIBULAR BONE TREATED BY FREEZING FOR MANDIBULAR BONE RECONSTRUCTION[J]. Journal of Luzhou Medical College, 1988, 0(6)
Authors:Liang Shangzheng etal
Affiliation:Liang Shangzheng etal Department of Oral Maxillofacial Surgery Luzhou Medical College Hospital
Abstract:Fourteen patients with various mandibular (belign. 10; malignant: 4) received operations of mandibular bone resection. The resected mandibular fragments were freezetlreated with liquid nitrogen and then immediately reimplanted in its original bed. postoperative evaluations were made clinically and radiographlcally with a 99mTc-MDP bone scanner for two and a half years. Eleven were successful, 2 unsuccessful and 1 dead. The results showed that reimplantation of resected autogenous tumor mandibules treated by freezing is able to kill the tumor cells totally, and to induce new bone formation as well. The cryotherapeutic mechanism of mandibular tumor and the keys to success are discussed. The technique is simple, economical and useful, and can help recover mandibular functions and maintain facial aesthetics.
Keywords:Mandibular neoplasms/surg  Mandibular Prosthesis/methods  Freezing  Replantation  
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