《口腔颌面外科杂志》 ›› 2015, Vol. 25 ›› Issue (6): 440-. doi: 10.3969/j.issn.1005-4979.2015.06.010

• 临床总结 • 上一篇    下一篇

GBR技术在颌骨囊肿手术中的临床应用观察

徐明,宋治锋,王秦宁   

  1. 江苏省昆山市第一人民医院口腔科,江苏   昆山   215300
  • 收稿日期:2015-05-07 修回日期:2015-07-29 出版日期:2015-12-28 发布日期:2016-03-11
  • 通讯作者: 宋治锋,主任医师. E-mail:szf411@163.com
  • 作者简介:徐明(1981—),女,辽宁省喀左县人,主治医师,硕士.
  • 基金资助:

    昆山市2013年社会发展科技计划项目(ks1344)

GBR on the Treatment of Jaw Cyst Cavities

XU Ming, SONG Zhi-feng, WANG Qin-ning   

  1. Department of Stomatology, Kunshan Municipal 1st Peoples’ Hospital,
    Kunshan 215300, Jiangsu Province, China
  • Received:2015-05-07 Revised:2015-07-29 Online:2015-12-28 Published:2016-03-11

摘要: 目的:观察膜引导骨再生技术(guide bone regeneration,GBR)在颌骨囊肿术后对颌骨缺损修复的临床疗效。方法:小型颌骨囊肿50例,囊肿大小为1.5 cm×1.5 cm~3.0 cm×3.0 cm,均采用颌骨囊肿摘除术治疗。术中将颌骨囊肿完整摘除,确认未与鼻底及上颌窦穿通后,将人工骨粉与自体静脉血混合充填入颌骨囊肿骨缺损区,再以生物膜覆盖,常规缝合切口。结果:术后2周拆线,除5例外切口均愈合良好;术后6个月复查全景片,充填材料复合体密度与颌骨密度趋于一致;术后1年,充填材料与周围颌骨生长完全融合,不能分辨,原囊肿区可见正常的骨小梁网纹结构。结论:GBR技术对修复小型颌骨囊肿术后的局部骨质缺损安全有效。

关键词: 引导骨再生技术,  ,  , 颌骨囊肿,  ,  , 骨缺损

Abstract: Objective: To discuss the clinical effect of guided bone regeneration (GBR) in repairing defects after jaw cyst enucleation. Methods: 50 patients were retrospectively reviewed. After ensuring the cystic jaw defect was not communicated with nasal floor or maxillary sinus after cyst enucleation, hydroxyapatite granules and fresh human venous blood (1∶1 in volume) were used to fill the cyst cavity and covered with biofilm. Results: Panoramic radiography at 6-month postoperation on the density of filling materials showed convergence with the surrounding jaw bone. 12-month after operation, trabecular network structure demonstrated in the filling materials. Conclusion: GBR was safe and effective in repairing defect after jaw cyst enucleation.

Key words: guide bone regeneration (GBR), jaw cyst, bone defect

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