{"id":1180,"date":"2024-01-10T21:09:39","date_gmt":"2024-01-10T13:09:39","guid":{"rendered":"https:\/\/taiwanfullarch.com.tw\/?p=1180"},"modified":"2025-10-13T10:13:19","modified_gmt":"2025-10-13T02:13:19","slug":"%e7%89%b9%e6%ae%8a%e6%82%a3%e8%80%85%e7%9a%84%e5%85%a8%e5%8f%a3%e9%87%8d%e5%bb%ba%e8%80%83%e9%87%8f%e4%bb%a5%e9%a1%b4%e9%aa%a8%e6%a4%8d%e9%ab%94%e6%87%89%e7%94%a8%e6%96%bc%e5%94%87%e9%a1%8e%e8%a3%82","status":"publish","type":"post","link":"https:\/\/taiwanfullarch.com.tw\/?p=1180","title":{"rendered":"\u3164\u7279\u6b8a\u60a3\u8005\u7684\u5168\u53e3\u91cd\u5efa\u8003\u91cf\u4ee5\u9874\u9aa8\u690d\u9ad4\u61c9\u7528\u65bc\u5507\u984e\u88c2\u60a3\u8005"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1180\" class=\"elementor elementor-1180\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-06fc24c e-flex e-con-boxed elementor-invisible e-con e-child\" data-id=\"06fc24c\" data-element_type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;background_background&quot;:&quot;slideshow&quot;,&quot;background_slideshow_gallery&quot;:[{&quot;id&quot;:5744,&quot;url&quot;:&quot;https:\\\/\\\/taiwanfullarch.com.tw\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/texture-1.jpg&quot;}],&quot;background_slideshow_loop&quot;:&quot;yes&quot;,&quot;background_slideshow_slide_duration&quot;:5000,&quot;background_slideshow_slide_transition&quot;:&quot;fade&quot;,&quot;background_slideshow_transition_duration&quot;:500}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e89c26e elementor-widget elementor-widget-heading\" data-id=\"e89c26e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u7279\u6b8a\u60a3\u8005\u7684\u5168\u53e3\u91cd\u5efa\u8003\u91cf\u4ee5\u9874\u9aa8\u690d\u9ad4\u61c9\u7528\u65bc\u5507\u984e\u88c2\u60a3\u8005 <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b9740aa elementor-widget__width-initial elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"b9740aa\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-35e2b3e e-flex e-con-boxed e-con e-parent\" data-id=\"35e2b3e\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5dbc1c25 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"5dbc1c25\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t\n<p><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"1024\" class=\"wp-image-1181\" style=\"width: 840px; height: auto;\" src=\"http:\/\/59.125.157.215\/wordpress\/wp-content\/uploads\/2024\/01\/2-1-1024x1024.png\" alt=\"\" srcset=\"https:\/\/taiwanfullarch.com.tw\/wp-content\/uploads\/2024\/01\/2-1-1024x1024.png 1024w, https:\/\/taiwanfullarch.com.tw\/wp-content\/uploads\/2024\/01\/2-1-300x300.png 300w, https:\/\/taiwanfullarch.com.tw\/wp-content\/uploads\/2024\/01\/2-1-150x150.png 150w, https:\/\/taiwanfullarch.com.tw\/wp-content\/uploads\/2024\/01\/2-1-768x768.png 768w, https:\/\/taiwanfullarch.com.tw\/wp-content\/uploads\/2024\/01\/2-1.png 1080w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p>\n\n<p>\u258b \u524d\u8a00<\/p>\n\n<p>\u5507\u984e\u88c2\u662f\u5e38\u898b\u7684\u5148\u5929\u9871\u984f\u9762\u7570\u5e38\uff0c\u5e38\u4f34\u96a8\u6709\u5148\u5929\u7f3a\u7259\uff0c\u54ac\u5408\u4e0d\u6b63\u4ee5\u53ca\u5927\u7bc4\u570d\u4e0a\u984e\u9aa8\u7f3a\u640d\u767c\u751f\u3002<\/p>\n\n<p>\u9019\u985e\u60a3\u8005\u5728\u9032\u884c\u4e0a\u984e\u5168\u53e3\u690d\u7259\u91cd\u5efa\u6cbb\u7642\u6642\uff0c\u5e38\u9700\u914d\u5408\u4ee5\u5927\u7bc4\u570d\u88dc\u9aa8\u624b\u8853\u3002\u9874\u9aa8\u690d\u7259\u76f8\u5c0d\u65bc\u50b3\u7d71\u88dc\u9aa8\u690d\u7259\u624b\u8853\u4f86\u8aaa\uff0c\u53ef\u63d0\u4f9b\u4e00\u500b\u66f4\u5feb\u901f\u4e14\u8f03\u5fae\u5275\u7684\u6cbb\u7642\u65b9\u6848\u3002<\/p>\n\n<p>\u258b \u6848\u4f8b\u5206\u4eab<\/p>\n\n<p>\u672c\u75c5\u4f8b\u70ba\u4e00\u540d 41 \u6b72\u5973\u6027\uff0c\u56e0\u4e0a\u984e\u5168\u53e3\u56b4\u91cd\u7259\u5468\u75c5\u65bc\u9580\u8a3a\u5c0b\u6c42\u4e0a\u984e\u54ac\u5408\u91cd\u5efa\u6cbb\u7642\u3002\u56de\u9867\u75c5\u60a3\u904e\u53bb\u91ab\u5b78\u75c5\u53f2\uff0c\u60a3\u8005\u66fe\u63a5\u53d7\u5507\u984e\u88c2\u4fee\u88dc\u624b\u8853\u4ee5\u53ca\u52d2\u798f\u6c0f\u7b2c\u4e00\u578b\u4e0a\u984e\u622a\u9aa8\u624b\u8853 (Lefort I osteotomy)\uff0c\u60a3\u6709\u7532\u72c0\u817a\u6a5f\u80fd\u4f4e\u4e0b\u4f46\u76ee\u524d\u670d\u85e5\u63a7\u5236\u4e2d\uff0c\u5426\u8a8d\u66fe\u7d93\u4f7f\u7528\u96d9\u78f7\u9178\u9e7d\u985e\u85e5\u7269\u8207\u985e\u56fa\u9187\u985e\u85e5\u7269\uff0c\u5426\u8a8d\u62bd\u83f8\u53ca\u78e8\u7259\u7b49\u53e3\u8154\u7fd2\u6163\u3002<\/p>\n\n<p>\u258b \u60a3\u8005\u6982\u6cc1<\/p>\n\n<p>\u53e3\u5167\u6aa2\u67e5\u767c\u73fe\uff0c\u9664\u4e86\u6709\u56b4\u91cd\u4e0a\u984e\u9aa8\u7f3a\u640d\u4ee5\u5916\uff0c\u540c\u6642\u56e0\u70ba\u4e4b\u524d\u63a5\u53d7\u52d2\u798f\u6c0f\u7b2c\u4e00\u578b\u4e0a\u984e\u622a\u9aa8\u624b\u8853\u5f8c\uff0c\u4e0a\u984e\u9aa8\u6709\u90e8\u5206\u9aa8\u982d\u7652\u5408\u4e0d\u826f\uff0c\u9020\u6210\u96d9\u5074\u9f52\u69fd\u9aa8\u7121\u6cd5\u7a69\u5b9a\u627f\u53d7\u54ac\u5408\u529b\u91cf\uff0c\u7d93\u904e\u8207\u60a3\u8005\u8a0e\u8ad6\u5f8c\uff0c\u60a3\u8005\u6c7a\u5b9a\u4ee5\u56db\u652f\u9874\u9aa8\u690d\u9ad4\u4f5c\u70ba\u54ac\u5408\u91cd\u5efa\u7684\u65b9\u5f0f\uff0c\u6e1b\u5c11\u56e0\u9700\u8981\u5927\u7bc4\u570d\u88dc\u9aa8\u7b49\u5f85\u7684\u6642\u9593\u3002\u53e3\u5167\u7167\u7247\u53ef\u898b\uff0c\u524d\u7259\u4e0d\u5bc6\u5408\u7259\u6a4b\u53ca\u5ee3\u6cdb\u6027\u7259\u5468\u75c5\uff0c\u5507\u984e\u88c2\u4fee\u88dc\u624b\u8853\u5f8c\u7684\u7622\u75d5\u7d44\u7e54\u3002<\/p>\n\n<p>\u258b \u8a3a\u65b7\u8207\u8a08\u756b<\/p>\n\n<p>\u74b0\u53e3 X \u5149\u7247\u986f\u793a\uff0c\u75c5\u60a3\u4e0a\u984e\u5ee3\u6cdb\u6027\u7684\u7259\u5468\u75c5\u5408\u4f75\u4e0a\u984e\u9aa8\u56b4\u91cd\u9aa8\u5438\u6536\uff0c\u4ee5\u53ca\u904e\u53bb\u60a3\u8005\u66fe\u63a5\u53d7\u4e0a\u984e\u6b63\u984e\u624b\u8853\u5167\u56fa\u5b9a\u7684 L \u578b\u9aa8\u677f\u8207\u9aa8\u91d8\u3002<\/p>\n\n<p>\u9310\u72c0\u5c04\u675f\u96fb\u8166\u65b7\u5c64\u6383\u63cf\uff08cone-beam computed tomography\uff0cCBCT\uff09\u6aa2\u67e5\u767c\u73fe\uff0c\u56e0\u5148\u5929\u6027\u984e\u88c2\u9020\u6210\u4e0a\u984e\u9f52\u69fd\u9aa8\u53ca\u786c\u984e\u90e8\u5206\u7f3a\u640d\uff0c\u5c0e\u81f4\u4e0a\u984e\u5169\u5074\u9f52\u69fd\u9aa8\u3001\u9874\u9aa8\u3001\u9f3b\u9aa8\u9023\u7d50\u4e0d\u826f\uff0c\u4e14\u56e0\u70ba\u904e\u53bb\u66fe\u63a5\u53d7\u4e0a\u984e\u52d2\u798f\u6c0f\u7b2c\u4e00\u578b\u4e0a\u984e\u622a\u9aa8\u624b\u8853\uff0c\u8853\u5f8c\u9aa8\u7652\u5408\u4e0d\u826f\uff0c\u5c0e\u81f4\u4e0a\u984e\u6700\u91cd\u8981\u7684\u4e09\u500b\u50b3\u5c0e\u54ac\u5408\u529b\u8def\u5f91\uff1a\u72ac\u9f52\u62f1\u58c1 (canine bu ttress)\uff0c\u9874\u9aa8\u62f1\u58c1 (zygomatic buttress)\u53ca\u7ffc\u72c0\u652f\u67f1 (pterygoid buttress) \u7686\u53d7\u5230\u5f71\u97ff\uff0c\u9020\u6210\u4e0a\u984e\u5169\u5074\u7684\u9f52\u69fd\u9aa8\u5e7e\u4e4e\u8655\u65bc\u6e38\u96e2\u72c0\u614b\u3002<\/p>\n\n<p>\u258b \u9874\u9aa8\u690d\u9ad4\u8a2d\u8a08\u898f\u5283<\/p>\n\n<p>\u5982\u679c\u76f4\u63a5\u8003\u616e\u50b3\u7d71\u690d\u7259\u5408\u4f75\u88dc\u9aa8\u4f86\u505a\u4e0a\u984e\u54ac\u5408\u91cd\u5efa\u53ef\u80fd\u6703\u9047\u5230\u7a69\u5b9a\u5ea6\u4e0d\u5920\u7684\u554f\u984c\u3002<\/p>\n\n<p>\u5982\u679c\u8981\u505a\u5927\u7bc4\u570d\u7a69\u5b9a\u7684\u7684\u88dc\u9aa8\u91cd\u5efa\uff0c\u5247\u53ef\u80fd\u9700\u8003\u616e\u4f7f\u7528\u6e38\u96e2\u8153\u9aa8\u76ae\u74e3 (free fibula osteocutaneous flap) \u4ee5\u7372\u5f97\u8db3\u5920\u7684\u8edf\u786c\u7d44\u7e54\u4f9b\u61c9\u3002\u65bc\u662f\u8a08\u756b\u4ee5\u56db\u652f\u9874\u9aa8\u690d\u9ad4\u4f5c\u70ba\u4e0a\u984e\u91cd\u5efa\u65b9\u5f0f\u3002<\/p>\n\n<p>\u258b \u624b\u8853\u904e\u7a0b\u8207\u6280\u5de7<\/p>\n\n<p>\u7531\u65bc\u60a3\u8005\u4e0a\u984e\u524d\u7259\u5340\u7684\u984e\u88c2\u7652\u5408\u4e0d\u826f\uff0c\u6240\u4ee5\u5728\u624b\u8853\u904e\u7a0b\u4e2d\u5c07\u6b64\u5340\u57df\u7684\u76ae\u74e3\u4fdd\u7559\uff0c\u50c5\u5c07\u9700\u8981\u690d\u5165\u9874\u9aa8\u690d\u9ad4\u7d93\u904e\u7684\u4e0a\u984e\u9f52\u69fd\u9aa8\u810a\u76ae\u74e3\u7ffb\u958b\uff0c\u907f\u514d\u816d\u88c2\u5340\u76ae\u74e3\u7ffb\u958b\u9020\u6210\u53e3\u9f3b\u76f8\u901a\u7684\u98a8\u96aa\u3002\u53e6\u5916\u70ba\u4e86\u907f\u514d\u9874\u9aa8\u690d\u9ad4\u8def\u5f91\u88ab\u5f71\u97ff\uff0c\u624b\u8853\u4e2d\u4e00\u4f75\u79fb\u9664\u90e8\u5206\u4e4b\u524d\u4e0a\u984e\u52d2\u798f\u6c0f\u7b2c\u4e00\u578b\u622a\u9aa8\u624b\u8853\u7528\u4f86\u56fa\u5b9a\u4e0a\u984e\u9aa8\u7684\u9226\u91d1\u5c6c\u9aa8\u91d8\u8207L\u578b\u9aa8\u677f\uff0c\u6700\u5f8c\u690d\u5165\u4e0a\u984e\u56db\u652f\u9874\u9aa8\u690d\u9ad4\u3002<\/p>\n\n<p>\u258b \u8853\u5f8c\u8ffd\u8e64<\/p>\n\n<p>\u75c5\u60a3\u65bc\u8853\u5f8c\u5169\u9031\u5167\u5b8c\u6210\u66ab\u6642\u5168\u53e3\u56fa\u5b9a\u5f0f\u5047\u7259\u914d\u6234\uff0c\u4e26\u65bc\u8853\u5f8c\u4e00\u5e74\u5167\u5b8c\u6210\u6b63\u5f0f\u5047\u7259\uff0c\u4e14\u5229\u7528\u5047\u7259\u5c07\u539f\u672c\u932f\u54ac\u7684\u54ac\u5408\u6539\u6b63\u3002\u76ee\u524d\u65bc\u9580\u8a3a\u8ffd\u8e644\u5e74\u534a\uff0c\u690d\u9ad4\u9aa8\u6574\u5408\u7a69\u5b9a\uff0c\u54ac\u5408\u529f\u80fd\u53ca\u53e3\u8154\u885b\u751f\u826f\u597d\u3002<\/p>\n\n<p>\u258b \u7d50\u8a9e<\/p>\n\n<p>\u9019\u985e\u5148\u5929\u6027\u75be\u75c5\u6216\u662f\u5f8c\u5929\u816b\u7624\u5207\u9664\u9020\u6210\u5927\u7bc4\u570d\u984e\u9aa8\u7f3a\u640d\u7684\u60a3\u8005\uff0c\u5728\u4ee5\u5f80\u50b3\u7d71\u690d\u7259\u5168\u53e3\u91cd\u5efa\u53d7\u5230\u6975\u5927\u7684\u6311\u6230\uff0c\u60a3\u8005\u53ef\u80fd\u5728\u690d\u7259\u524d(\u6216\u540c\u6642)\u9700\u8981\u53d6\u8eab\u9ad4\u7684\u5176\u4ed6\u90e8\u4f4d\u7684\u9aa8\u982d\u4f86\u505a\u79fb\u690d\u624b\u8853\uff0c\u4f8b\u5982\u8178\u9aa8 (iliac bone)\uff0c\u751a\u81f3\u662f\u6e38\u96e2\u8153\u9aa8\u76ae\u74e3 (free fibular osteocutaneous flap)\uff0c\u9019\u6a23\u5927\u7bc4\u570d\u4e14\u5197\u9577\u7684\u624b\u8853\uff0c\u5c0d\u65bc\u60a3\u8005\u6216\u662f\u91ab\u5e2b\u4f86\u8aaa\u90fd\u662f\u5f88\u5927\u7684\u6311\u6230\u3002<\/p>\n\n<p>\u4ee5All-on-4 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