两种整形美容技术在颌面外伤应用效果分析.docVIP

两种整形美容技术在颌面外伤应用效果分析 　　[摘要]目的：探讨两种整形美容技术在颌面外伤的应用效果。方法：颌面外伤中上颌骨缺损患者80例根据入院顺序平分为两组-治疗组与对照组各40例，对照组采用空义齿修复治疗，观察组采用快速成型预制的个体化钛修复体修复治疗。结果：两组治疗前牙齿松动度比较无显著性差异(P＞0.05)，经过治疗后，观察组牙齿松动度明显减少(P＜0.05)，而对照组牙齿松动度减少程度不显著(P＞0.05)。经过治疗后，观察组的有效率为95%，对照组的有效率为75%，治疗组的临床有效率明显好于对照组(P＜0.05)。结论：快速成型预制的个体化钛修复体修复上颌角缺损的方法是一种可以推广和有着广阔应用前景的修复方法。 　　[关键词]整形美容技术；上颌骨缺损；钛修复体；空义齿 　　[中图分类号]R622[文献标识码]A [文章编号]1008-6455（2011）09-1389-03 　　 　　Analysis of effects of applying two plastic surgical techniques to maxillo-facial injury 　　GONG Zheng-lin,YU Bo 　　(Department of Oral and Maxiillofacial Surgery,Ankang City Central Hospital,Ankang 725700,Shaanxi,China) 　　 　　Abstract:Objective To explore effects of applying 2 plastic surgical techniques to maxillo-facial injury. Methods Eighty patients with maxilla defect were equally divided into 2 groups-Treatment Group and Control Group (each 40 cases).Treatment/Observation Group was treated with empty denture restoration， on the other hand,Control Group was treated with quickly formed predefined individualized titanium bone substitute. ResultsBoth groups showed no significant difference (P＞0.05).However,throughout treatment, Observation Group showed remarkably lower tooth loosening rate (P＜0.05);but Control Group had no remarkable tooth loosening rate (P＞0.05).And Treatment Group had an effective rate (95.0%) much higher than Control Group (75.0%), with a significant difference (P＜0.05).ConclusionTreating maxilla detect with quickly formed predefined individualized titanium bone substitute enjoys an extensive prospect of application.As a result,it is worth promoting. 　　Key words:plastic surgical technique;maxilla defect;titanium bone substitute;no denture 　　 　　 在颌面外伤中，上颌骨缺损是重要的组成部分，其不仅给患者带来颜面畸形，同时还会因此而导致咀嚼、吞咽和语音等功能???部分或完全丧失。因此，上颌骨缺损的修复重建历来是口腔颌面外科领域研究的重点[1]。虽然目前硅胶假体在上颌骨修复体的临床应用上比较广泛，但因仍需人工雕刻，因为不能很好的达到完全对称美容的要求、同时也很难满足个体化修复而存在缺陷[2]。同时近年来随着医学技术的发展，影像学与计算机辅助制造技术在颅面外科领域得到了广泛应用，这为上颌骨缺损的个体化修复奠定了技术基础[3]。本实验在参考了国内外研究的基础上，探索了个体化空义齿与钛修复体修复上颌骨缺损的对比效果，现报道如下。