摘要
目的探讨在牙槽嵴裂植骨术中应用脱细胞真皮基质能否提高完全性唇腭裂患者植骨术后效果。方法对63例完全性唇腭裂患者共72侧裂隙以自体髂骨松质骨行牙槽嵴裂植骨术,术中同时应用脱细胞真皮基质。术后至少3个月时按照Bergland标准评价其上颌前部咬合片,统计临床成功型所占的比例,并与按相同手术方法植骨但未应用脱细胞真皮基质的植骨效果进行比较。结果脱细胞真皮基质组的临床成功率为75%,高于对照组(51%)。其中单侧牙槽嵴裂组53侧裂隙的成功率为81%,高于对照组(56%);双侧牙槽嵴裂组19侧裂隙的临床成功率为58%,与对照组(42%)无显著性差异。结论完全性唇腭裂患者在牙槽嵴裂植骨术中应用脱细胞真皮基质可以提高手术效果。
Objective To evaluate the outcome of the use of acellular dermal matrix （ADM） in alveolar bone grafting. Methods Sixty-three patients with complete cleft palate （72 sites） were included. The cancellous bone grafting combined with ADM was conducted in these patients. The results were assessed by X-ray taken 3 months after the operation and by Bergland Scale. The success rates were compared with the control group which underwent the operation with autologous bone grafting only. Results The success rate was 75% in all the 72 clefts and 81% in the unilateral cleft group, which was higher than in the control （51% , 56% , respectively）. The success rate was 58% in the bilateral cleft group and not significantly different with the control （ 42% ）. Conclusion The use of acellular dermal matrix could improve the effect of alveolar bone grafting.
出处
《北京口腔医学》
CAS
2012年第6期338-340,共3页
Beijing Journal of Stomatology
关键词
牙槽嵴裂植骨
脱细胞真皮基质
牙槽嵴裂
Alveolar bone grafting
Acellular dermal matrix
Cleft alveolus
