>
网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
虚拟手术辅助下颌骨截骨整形术的临床应用研究
作者:黄金龙 刘育凤 闻可 
单位:东南大学医学院
关键词:虚拟手术 下颌骨截骨 Kim值 三维分析 
分类号:
出版年·卷·期(页码):2010·29·第五期(514-518)
摘要:

目的 在自主开发的软件支持下仿真模拟下颌骨塑型手术,拟定手术方案和截骨量,从而指导完成下颌骨个性化的塑型手术,评估关键指标的实用性和模拟截骨的意义;方法 在先前建立的江苏省貌美女性人群的下颌骨测量数据库的基础上,选出23名诊断为下颌角肥大的下面部宽大求美者作为研究对象,术前完成下颌骨关键指标的测量,在貌美女性关键指标Kim值(Key Indexs of mandible)的指导下进行模拟手术,拟定出每个个体的下颌骨塑型手术的方法(截骨部位和截骨量),以此为指导完成手术。手术方法常规采用口内切口。术后3月再次完成下颌骨的测量,并且将手术前后的数据进行统计学分析, 再次由专家组评估术后容貌效果;结果 根据每组数据的变异系数和标准差得出:下颌角间距/颧弓间距,下颌升支/下颌体,下颌角角度,下颌角区外翻角,下颌平面角,下颌体下缘角,颏突度,中下面高比相对具有较小的变异系数和标准差;下颌骨的塑形手术未有并发症的发生。手术前后下颌骨的关键指标测量数据经统计学分析没有统计学差异。术后6月,评委完成研究对象的评估。结果20名患者满意,2名基本满意,1名不满意;结论 通过关键指标完成的下颌骨塑型手术具有良好的术后效果。关键指标对手术有着较为重要的指导意义,避免了既往下颌骨手术截骨方式和截骨量的盲目性.。

objective: the simulating operation of contouring mandible was performed on the software platform and arrived at the individual schemes for osteotomy.Then,the operations of mandibles were carried out according to the schemes;methods: Simulatinging operation and clinic research.23 cases, with project mandible angles, were selected as research objects,all of which preoperative key indexes related to the mandibles were gained and simulating osteotomy of the shaping madibles based on the key indexes from good appearances were performed.All cases were undergone shaping operations as the simulating procedures by the oral approaches. Postoprative key indexes were gained by the 3-D CT. Pre-and postoperation data were statistically analysed and experts evaluated the appearances again;Results: The vital important indexes of the mandible were screened based on the coefficincy of variations and standard deviations:intermadible angle distance,ratio of ramus mandibulae to corpus mandibulae, mandibule angle value, etropion angle, value of mandible angle, mandibular plane angle,inferior margin angle of corpus mandibulae,chin project,ratio of middle to inferior face;The mandible shaping procedures were smooth. There were no statistically significant differences beween the pre-and postoperative key indexes related to mandibles。All cases were appraised after 6 months and results showed satisfied appearances in 20 cases, near to satisfied in 2 and unsatisfied in 1;conclusions: The shaping mandible operation based on the key indexes and simulating osteotomy may gain a good result.The preoperative procedures exhibited a guiding signifince and avoided blind osteotomy.

参考文献:
服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 418061 位访问者


copyright ©《东南大学学报(医学版)》编辑部
联系电话:025-83272481 83272483
电子邮件:
bjb@pub.seu.edu.cn

苏ICP备09058364