口腔医学研究

口腔医学研究 ›› 2026, Vol. 42 ›› Issue (6): 500-503.DOI: 10.13701/j.cnki.kqyxyj.2026.06.007

• 口腔颌面外科学研究 • 上一篇    下一篇

应用灭菌指示卡辅助腓骨肌皮瓣塑形重建下颌骨缺损

孙亚威, 吴朱昊, 梁易, 陈欣, 蒲玉梅, 孙国文*   

  1. 南京大学医学院附属口腔医院,南京市口腔医院口腔颌面外科,南京大学口腔医学研究所 江苏 南京 210008
  • 收稿日期:2025-09-09 出版日期:2026-06-28 发布日期:2026-06-23
  • 通讯作者: *孙国文,E-mail:238957@sina.com
  • 作者简介:孙亚威(1996~),男,山东临沂人,硕士,医师,研究方向:口腔颌面部肿瘤修复重建。
  • 基金资助:
    南京市卫生科技发展项目(编号:YKK22183)

Reconstruction of Mandibular Defect with Free Fibular Flap Assisted by Steam Chemical Indicator Strip

SUN Yawei, WU Zhuhao, LIANG Yi, CHEN Xin, PU Yumei, SUN Guowen*   

  1. Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Research Institute of Stomatology, Nanjing University, Nanjing 210008, China
  • Received:2025-09-09 Online:2026-06-28 Published:2026-06-23

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摘要： 目的:探讨灭菌指示卡辅助腓骨塑形在下颌骨缺损修复重建术中的应用价值。方法:收集南京大学医学院附属口腔医院(南京市口腔医院)一病区2020年1月~2025 年6月收治的60例因病需行下颌骨节段性切除并同期行腓骨肌皮瓣修复患者的临床资料及随访数据,将所有患者按术中腓骨塑形方式分为以下3组(n=20):A组:术中用灭菌指示卡辅助腓骨塑形;B组:术中用数字化导板辅助腓骨塑形;C组:术中用传统方式进行腓骨塑形。统计3组患者术中腓骨塑形加固定时间,术后腓骨肌皮瓣成活率,术后并发症发生情况等,对比3种方式优缺点。结果:A组塑形加固定时间为:(28.27±4.10) min,B组:(45.33±5.20) min,C组:(52.91±4.61) min。A组花费时间最短,与另外两组比较差异有统计学意义(P＜0.05),术后腓骨肌皮瓣成活率:A组:100%,B组:100%,C组:95.7%;术后并发症:A组2例,1例钛板外露,1例术创感染;B组0例;C组2例血管危象。结论:相比于传统塑形方式和数字化导板辅助腓骨塑形,纸卡辅助腓骨塑形可以有效节省手术时间和成本,并具有塑形相对准确的优点。应用纸卡辅助腓骨肌皮瓣塑形进行下颌骨缺损修复重建是一种准确、经济、省时、可行的方法。

关键词: 下颌骨缺损, 腓骨肌皮瓣, 下颌骨重建, 灭菌指示卡

Abstract: Objective: To investigate the application value of steam chemical indicator strip in assisting fibula shaping for mandibular defect reconstruction. Methods: The clinical and follow-up data of 60 patients who underwent segmental mandibular resection and free fibular flap reconstruction in Ward 1 of the Nanjing Stomatological Hospital between January 2020 and June 2025 were retrospectively collected. These patients were categorized into three groups according to the fibular molding methods (n=20). Group A was shaping of fibular flap assisted by steam chemical indicator strip. Group B was shaping of fibular flap assisted by digital guide plate. Group C was shaping of fibular flap assisted by the conventional manual method. The primary outcomes recorded included the duration of fibular shaping and fixation, postoperative fibular flap survival rate, and incidence of postoperative complications. A comparative analysis was conducted to evaluate the relative advantages and limitations of the three techniques. Results: The average time of fibula shaping and fixation was (28.27±4.10) minutes in group A, (45.33±5.20) minutes in group B, and (52.91±4.61) minutes in group C. Compared with the other two groups, the time spent in group A was the shortest (P<0.05). The survival rate of postoperative fibular flap was 100% in group A, 100% in group B, and 95.7% in group C. There were 2 cases of postoperative complications in group A (1 case of titanium plate exposure and 1 case of surgical wound infection), 0 case in group B, and 2 cases of vascular crisis in group C. Conclusion: Compared with traditional fibular shaping methods and digital guide plate-assisted fibular shaping, steam chemical indicator strip-assisted fibular shaping can effectively reduce operative time and cost while achieving relatively high shaping accuracy. Therefore, the use of steam chemical indicator strip-assisted fibular flap shaping in mandibular defect reconstruction is an accurate, economical, time-efficient, and clinically feasible approach.

Key words: mandible defect, fibular flap, mandibular reconstruction, steam chemical indicator strip