颌骨放射性骨坏死的诊断与治疗:58例临床分析

Clinical Diagnosis and Treatment of Radionecrosis of the Jaws:An Analysis of 58 Cases

目的探讨放射性颌骨骨坏死的诊治手段。方法对58例放射性颌骨骨坏死患者的临床资料进行回顾分析。结果保守治疗只能控制放射性颌骨骨坏死的病情。行死骨扩大切除术,放射性颌骨骨坏死的治愈率达93.3%;同期血管化组织瓣移植修复缺损,组织瓣移植存活率达97.1%。结论放射性颌骨骨坏死的根治须行死骨扩大切除术,同期血管化组织瓣移植可以有效修复颌面部缺损畸形。

Objective To probe into the clinical therapy for radionecrosis of the jaws.Methods To make a clinical analy-sis of radionecrosis of jaws in58cases.Results Conservative treatment can control the progress of the diseases.The cure rate of radionecrosis of jaws was93.3%by extensive resection of sequestrum.The survival rate of transplant flap was97.1%by immediate vascularized tissue graft.Conclusion Radionecrosis of jaws can be cured by extensive resection of sequestrum,immediate vascularized tissue grafts can be used to repair the surgical defect.<