中国实用口腔科杂志

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异种和异体脱细胞真皮基质修复颊部软组织缺损疗效观察

金鑫周健   

  1. 作者单位:安徽医科大学口腔医学院·附属口腔医院,安徽省口腔疾病研究中心实验室,合肥230032
  • 出版日期:2013-05-15 发布日期:2013-06-19
  • 通讯作者: 周健
  • 基金资助:

    国家自然科学基金(81070864)

Curative effect observation of buccal soft tissue defects with heterogeneous and allogeneic acellular dermal matrix

JIN XinZHOU Jian   

  1. Department of Oral and Maxillofacial Surgery,Stomatology Hospital of Anhui,Anhui Medical University,Hefei 230032,China
  • Online:2013-05-15 Published:2013-06-19

摘要:

目的 观察脱细胞真皮基质(ADM)修复颊部软组织缺损的疗效。方法 选择2010年11月至2012年11月在安徽医科大学附属口腔医院就诊的颊部软组织缺损患者38例,其中20例应用异种ADM治疗,18例应用异体ADM治疗。随访6个月,观察患者缺损修复治疗效果,并对2种ADM在组织相容性、引导组织再生及补片成活情况等方面进行临床效果评价。结果 应用异种ADM修复的患者,修复膜完全成活18例,大部成活2例,修复区表面颜色多为粉红色,质地柔软,瘢痕轻微;应用异体ADM修复的患者,修复膜完全成活17例,1例患者术后补片与创缘边缘有约0.8 cm脱离区,补片与基底组织面贴合,补片色泽呈红色,愈合尚可。38例患者均未出现明显局部或全身反应,进食基本不受影响,无明显异物感,张口度未见明显改变。结论 异种及异体ADM对颊部软组织缺损的修复效果均较为满意。

关键词: 脱细胞真皮基质, 颊部软组织, 缺损修复, 口腔修复膜, 脱细胞异体真皮

Abstract:

Abstract:Objective To observe the curative effect of acellular dermal matrix(heterogeneous acellular dermal matrix and allogeneic acellular dermal matrix )in repairing the defect of buccal soft tissue. Methods Choose 38 cases of buccal soft tissue defect patients who visited the Affiliated Stomatological Hospital of Medical University of Anhui. Twenty patients received heterogeneous acellular dermal matrix for treatment,and 18 patients were treated with allogeneic acellular dermal matrix. Patients were followed up for 6 months and the therapeutic effect of defect repair was observed. Evaluate two kinds of ADM in histocompatibility,guided tissue regeneration,and patch survival situation. Result Application of heterogeneous acellular dermal matrix survived in 18 cases,the majority survived in 2 cases,the repair area surface color pink,soft texture,slight scar,application of allogeneic acellular dermal matrix survived in 17 cases. In one patient the patch was about 0.8 cm away from the edge of the wound edge,fit with base organizations face,red color,healing fair. None of the 38 patients had significant local or systemic reaction,eating essentially unaffected and no obvious foreign body feeling;mouth opening did not change significantly. Conclusion Heterogeneous acellular dermal matrix and allogeneic acellular dermal matrix can be used to repair buccal soft tissue defect with satisfactory results.

Key words: acellular dermal matrix, buccal soft tissue, defect repair, bio-membrane, acellular allogeneic dermis

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