功能性下唇缺损修复重建术
(110001)????????,???????u,????????,????????
?????c?8???????????????B,?????B???????c?8??
???????8???Y?.???1?u?????????????????E?9????
?????c?8???m????????????,?t????????????????
?????????????m?????????????????????r???????1
????????200???????D??80???????????r?c?8??
??????,???????B????????????????,????????????
?D?????????2?????c???11989??DoctorYu??????
?????????????????????r?c?8????,?????????2??
???????1?7????98???????????????????r?c?8????
?????????u????,?????????c?1
1??????????
??1998??2?9??1999??10?9?7????12???c
?8?????,?????????????8???Y?????8????????????
?c?8?m?????????????r?c?8????????,????5????
????????????????????,7????????????????????
???112?????,??????????,???u???,48??,??????
?,65??;?c?8???????????u?,?????c?8??1?2,??
???,?????c?8??5?6?1???r?Y???????????5??,???m
?????c?8???????????u,??????????2.5cm???o,
???Y??????????1???r???1
2??????????
(1)???????????????8???c?8?????1
(2)????????:(1)???????7?m????????????
?????8????,??A-B??,???????r?????c?8??????
????????;(2)D-C?????????8??,????????????
????B??,B-C??????1.5cm??;(3)D-E????
?YA-B??????,??????????D-A????????????;
(4)G?????????8?????c?8?8???A????????;(5)A
-B-G?)???????Y?2?8??;(6)F????G????????
??,??A-F???r????A-G??,??????????C-B
-F-A,????????????????A-B-G?)?????8??
?Y???5?c?8?m???8???????1?t???????????????8??
???1
(3)?8?????5????????????:?D?????8??A-
B,D-??D-?????????c???????????c??????
????,???Y???????????????2?????5H?BH???
????BH?DH?????,?????????E???(?7???(??
???????????????1???Y??????????????FB
C?????8??,???5AH?-FH?-BH?-C??????,???8???r
?c?8?m???8???1???????8???????E?????????7???2,
?????m???????2?????E??,????H-I?7?c?2????
???E??,???m?????????E?????C?????7?m???????5
???F?????????????1???????t???????8??,???5????
???????1
(4)???????????????r:?2???5??C-BH?-K-
G???7?????????Y?????????????????E?9,A-BH?
-DH?-E?D?????7?c??????C-BH?-K-G???7??
???????Y????????????,???????E?9?1???Y?2AH?-
FH?-BH?-C???????7?m???????r?m???????8????
???1
3??????
?????c?8?????????8???Y,???????????????r
?????????????B,?????????u?????c?8????1?3?,
???????????????E?9?m,?????????D????????????
?I???r?????????2?????m?????c?8?????????1?D??
?????????I???????????????5?F?2????????????
??,?D?????????r??????????????,?????8???????m
???????E???t??????????????,???t???????c?8??
???11989??DoctorYu????????????????????????
?????????r?c?8???????????1???,??12???c?8????
?????8???Y?????????????????r?????c?8??????
??,????6?????????????????r,?t??6??????????
?????r,???Y?????????????u?1?7??????????12??
?c?8?????,?????????????????????????r????????
?8???Y???????c?8?????????????u??????,???Y?m
???????????????????2???c???1???????1?????c?8
???????????c?8??????1?3,?u??1?2?,????????
??(???,)???????????????r,???????????????c?8
??????1?2?m???c?8?????-?????????????????r?1
?????????????o?8???????,,?????????r?????????1
?????????A????:(1)???r?Y,?8???E?????????8??
???8?????),???Y?K???r?Y??;(2)???Y?c?8??????
??????,?m???????1???????????????r?,;(3)????
?m??????????????????,???D????,?????????Y?c?8
????????????;()???????I???????r????,?;????
?????2???????????1
??04?????????????m????????2001????11?????o??
CE
A--C
A---E
A---
4