数字化技术与钛合金相结合在下颌骨缺损个体化修复中的应用.docVIP

数字化技术与钛合金相结合在下颌骨缺损个体化修复中的应用 　　[摘要]目的：探讨数字化技术与钛合金相结合来对下颌骨缺损进行个体化修复。方法：对我院收治的45例患者进行以下操作：①采用螺旋 CT 对目标物体进行扫描，获得与下颌骨缺损相匹配的三维重建模型；②获得下颌骨缺损的个体化钛合金修复体；③通过手术将个体化钛合金修复体植入患者体内。结果：①通过三维重建技术的使用，在手术前获得了与下颌骨手术切除后缺损相一致的假体模型，然后再联系上海双申医疗器械有限公司，该公司通过快速成型技术制成了与缺损完全相匹配的个体化假体；②通过手术使患者下颌骨病变切除后形态完全恢复原形。结论：数字化技术与钛合金相结合可完成下颌骨缺损的个体化修复，这种技术可以满足下颌骨缺损的外形和功能重建的需要。 　　[关键词]下颌骨缺损；修复；数字化技术；钛合金 　　[中图分类号]R782 [文献标识码]A [文章编号]1008-6455（2014）08-0627-03 　　 　　Application of digital technology combining with titanium in the restoration of individual mandibular defects 　　LIU Huai-qin,XU Jian-hua,GAO Yu,XU Yang,CAI Jian-mei,SUN Xiang 　　(Yulin Stomatology Hospital,Yulin 719000,Shaanxi,China) 　　 　　Abstract：ObjectiveTo explore the way to repair mandibular defect individualized through digital technology for combining with titanium.MethodsSome clinical operations as follows were executed to 45 patients:①Scanning the target objects with Spiral CT and obtain the model of three-dimensional reconstruction of mandibular defect;②Obtain the individualized titanium prosthesis of mandibular defects;③The individual titanium prosthesis was implanted in patients by surgery.Results①We get the model of three-dimensional reconstruction exactly which was the same to the mandible,and finally we get a individualized prosthesis completely which was match with the defect by the the production of titanium prosthesis through apid prototyping technology.②The surgery mandible patients restored prototype form after resection of the lesion completely.Conclusion The digital technology can be restored mandibular defects individually with a combination of titanium, and this technology can meet the needs of the mandibular defect reconstruction of form and function. 　　Key words:mandible defects;restoration;digital technology;titanium下颌骨是位于面中下1/3的骨支架，参与咀嚼、吞咽及咬合等过程，在颌面所有骨中下颌骨的位置最突出。由于肿瘤、交通事故、跌打损伤及运动等外伤原因造成下颌骨缺损时，不仅影响下颌骨的正常功能，而且可能会造成患者面型改变从而影响美观，因此对下颌骨缺损进行修复一直是受到口腔颌面外科医生的重视。对缺损下颌骨的修复一直都是颌面外科中的常见手术，但是由于传统下颌骨缺损的整复手术面积比较大且对患者创伤较大，因此为了找