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作者认为影响骨移植成功的因素很多,如缺损长度、部位、移植骨的类型、受植床的血管多少;注意控制感染,去除瘢痕组织,使受植床血管丰富,形成合适的超头接合,保持骨膜的完整性,避免穿破口腔粘膜,则可使成功率增加。5年来应用自体骨移植到下颌骨病人共37例,其中30例为战伤所致下颌骨缺损,7例为造釉细胞瘤切除后引起缺损,应用髂骨作为供骨区有33例,肋骨作为供骨区4例,失败2例。战伤所致骨缺损的骨移植时间,从15天到2年半(平均7.2月),植骨前需要对污染的创伤进行彻底清创,拔除感染的牙齿,控制感染,根治骨髓炎,至少有一月时间证
The authors believe that many factors affect the success of bone transplantation, such as the length of the defect, the site, the type of bone graft, implanted in the number of blood vessels; pay attention to infection control, removal of scar tissue, the implanted vascular bed rich to form the appropriate super- Maintain the integrity of the periosteum, to avoid piercing the oral mucosa, you can increase the success rate. In the past five years, there were 37 cases of autologous bone graft to the mandible, of which 30 cases were mandibular defects caused by war injuries and 7 cases were caused by excision of ameloblastoma. There were 33 cases with ilium as the donor site, As a bone donor area in 4 cases, 2 cases failed. Bone defects due to war injury bone transplantation time, from 15 days to 2 years and a half (average 7.2 months), the need for complete debridement of the wound before the bone graft, removal of infected teeth, infection control, cure osteomyelitis, at least There is a January time card