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1979年Taylor首次对旋髂深血管为蒂的复合髂骨瓣进行了深入的研究之后,报告了2例利用旋髂深血管作蒂的复合髂骨瓣进行下颌骨重建,均获成功的病例。刘家琛(1982年)、唐友盛等(1983)分别报告了以同样的方法为4例、13例下颌骨缺损的病人施行了手术,除后组有一例失败外,均获良好效果。我科于1983年应用带旋髂深血管复合髂骨瓣移植治疗2例下颌骨缺损,术后经颈动脉造影显示吻合血管通畅,兹报告如下: 临床资料详见附表。手术方法一般分为二组进行,同时解剖供、受区。但也可首先解剖受区,观察血管情况,并测量下颌骨缺
After Taylor's first study of the composite iliac flap pedicled with iliac vessels in 1979, we reported two successful cases of mandibular reconstruction using composite iliac flaps pedicled with deep iliac vessels. Liu et al. (1982) and Tang Yousheng et al. (1983) reported the same procedure for the treatment of 4 cases and 13 cases of mandibular defects, respectively, except for one case of failure in the latter group. Our department in 1983 with the application of iliac bone iliac graft with iliac flap iliac bone graft in the treatment of 2 cases of mandibular defects, postoperative carotid artery angiography showed vascular anastomosis, it is reported as follows: Clinical data, see the attached table. Surgical methods are generally divided into two groups, while anatomical supply, by the district. However, it is also possible to first dissect the affected area, observe the vascular condition, and measure the absence of the mandible