数字化外科技术辅助下的块状骨移植治疗牙槽嵴裂的临床研究<br /><br />-《中国美容医学》

文章信息/Info

Title:: Clinical Study on Massive Bone Graft in the Treatment of Alveolar Cleft by Digital Surgical Technique

Author(s):: ZHANG Yan-sheng; YU Lan; WANG Juan; ZHAO Shi-jun; SHI Bing-zheng; LIANG Liang

Keywords:: Key words: digital surgical technique; massive bone graft; sand bone graft; alveolar cleft; bone graft survival rate

摘要:: [摘要]目的：探究数字化外科技术辅助下的块状骨移植治疗牙槽嵴裂的可行性。方法：选择2016年1月-2017年11月笔者科室
收治的64例接受过唇裂、腭裂修复的单侧完全性牙槽嵴裂患者，分别接受数字化外科技术辅助下的块状骨移植和传统的泥
沙状骨移植修复牙槽嵴裂，对比两组患者的临床效果。结果：术后6个月时，研究组的植骨成活率为93.75%，而对照组仅为
87.5%，差异不具有统计学意义（P ＞0.05）。两组患者术后的骨剩余量呈现逐渐减少的趋势，且术后1个月、3个月、6个月
时，研究组的骨吸收量均明显低于对照组，具有统计学差异（P ＜0.05）。结论：对于牙槽嵴裂的治疗，相比传统的治疗方
法，使用数字化外科技术辅助下的块状骨移植治疗可显著减少骨量的吸收，提高植骨的成活，为后续的牙列正畸或种植义齿
打下良好的基础，值得临床推广使用。

Abstract:: Abstract: Objective To explore feasibility study of massive bone graft in the treatment of alveolar cleft by digital surgical
technique. Methods The hospital selected 64 patients with unilateral complete cleft alveolar cleft who underwent cleft lip and
palate repair from January 2016 to November 2017 . Digital bone grafting and traditional bone grafting were used to repair
alveolar cleft, relatively. The clinical effects of the two groups were compared. Results At 6 months after operation, the
survival rate of bone graft in the study group was 93.75%, while that in the control group was only 87.5%, and the difference
was not statistically significant (P ＞0.05). The bone surplus of the two groups showed a tendency to decrease gradually, and
the amount of bone absorption in the study group was significantly lower than that of the control group in January, March after
operation and June after the operation, with a statistically significant difference (P ＜0.05). Conclusion For the treatment of
alveolar cleft, compared with the traditional treatment method, the use of digital surgery assisted lump bone transplantation can
significantly reduce the absorption of bone mass, which is beneficial to the survival of bone graft, and lay a good foundation for
subsequent dentition orthodontic or implant denture, which is worthy of the use.