不同骨密度位点处种植体累计存留率的评价和其预后因素分析.pdfVIP

目 录 一、摘要 中文论著摘要???????????????????????1 英文论著摘要???????????????????????3 二、英文缩略词????????????????????????5 三、论文 前言???????????????????????????6日U舌????????? b 资料与方法????????????????????????7 结果???????????????????????????9 讨论???????????????????????????18 结论???????????????????????????25 四、本研究创新性自我评价???????????????????26 五、参考文献?????????????????????????27 六、附录 综述???????????????????????????33 在学期间科研成绩?????????????????????46 致谢???????????????????????????47 个人简介?????????????????????????48 ·中文论著摘要· 不同骨密度位点处种植体累计存留率的评价 及其预后因素分析 目的 验证骨密度与种植体累计存留率之间的关系，分析不同骨密度位点处脱落种 植体的失败原因并评价影响不同骨密度位点处种植体存留率的相关预后因素。 方法 选择2005年1月至2011年12月期间于中国医科大学附属口腔医院种植中心 就诊的1377例患者(2684枚种植体)。根据植入位点Lekholm和Zarb骨密度分 级的不同，将种植体分为G1．G4四组，分别对应I．Ⅳ级骨密度。计算并评价各组 种植体的累计存留率和失败原因：分析影响骨密度大小的因素；应用单因素及多 因素分析评价相关预后因素对种植体累计存留率的影响。 结果 本研究共有45枚种植体脱落，G1．G4组的种植体累计存留率分别为100％、 98．18％、96．83％和92．25％。各组脱落种植体的失败原因主要为未形成良好骨结合 和过度负载。高龄(=50岁)患者及上颌后牙区的骨密度较低。根据多因素分析 结果，影响高骨密度组(G2)种植体存留率的预后因素为糖尿病和非螺纹结构种 植体，影响低骨密度组(G3和G4)种植体存留率的预后因素为高龄、吸烟、非 螺纹结构种植体和即刻负重。 结论 骨密度越低，种植体的累计存留率越低。术前对不同骨密度位点处的种植体 进行预后因素评估有助于预测种植体的远期存留率。 关键词 种植义齿：骨密度；累计存留率；预后因素 ·英文论著摘要· Assessment of Cumulative Implant Survival Rates at Different Bone Mineral Density Sites and Related Prognostic Factors Obj ective This retrospective study was set to explore the influence of local bone mineral density(BMD)on the cumulative survival rates(CSRs)of implants，and to assess failure reasons and prognostic factors associated with implant failure at different BMD sites． Methods 2684 implants placed in 1 3 77 patients from January 2005 to December 20 1 1 were included．Implants at different BMD sites were divided into four groups(G 1一G4) according to the Lekholm and Zarb classification，corresponding to bone types I to IV． Implant CSRs and the reasons for failure in each group were evaluated．Factors related to the local distribution of BMD were also analyzed．A number of predictive variables were examined by univariate and multivariate analysis to evaluate prognostic factors and their impacts on impla