颅盖部骨纤维异常增殖症治疗方法的改进（附6例报告）

Improvement of treatment methods for fibrous dysplasia in cranial bone （a report of 6 cases）

目的探讨经修复、整形、灭活的病灶骨原位回植治疗颅盖部骨纤维异常增殖症的疗效。方法6例颅盖部骨纤维异常增殖症患者，采用手术切除的病灶骨，经修复、整形，煮沸灭活并制成多孔状后原位回植，术后临床随访，定期CT检查。结果术后随访1-5年，无并发症发生，外观完美，无塌陷；头颈CT随访，骨瓣对合良好，无吸收现象，骨瓣与骨床接合处部分可见骨痂形成，未见病变复发。结论内板完整的颅盖部骨纤维异常增殖症，可在病灶骨切除同时，应用灭活病灶骨原位修复颅骨缺损，效果满意。

Objective To investigate the effect of bone lesions of surgical resection that is reconstructed and then re-implanted in the treatment of fibrous dysplasia in cranial bone. Methods To adopt the bone lesions of surgical resection of 6 cases,reconstructive, boiling respectively, fabricated into porous material and then re-implanted. Both the clinical followed up and regular computed tomography （CT） should be conducted in post-operative. Results Clinical followed up for 1 to 5 years in post-operative. No comphcation occured. The appearance was perfect without collapse, re-examination by CT showed that the bone flap was not absorbed. Part of the bone flap and segment was fusion, and the lesion was no recurrence. Conclusion The regions of cranial defect of fibrous dysplasia in cranial bone with intact inner cortex is reconstructed with devitalized lesions bone when excision bone lesions ,the effect is satisfactory.