颌骨肿瘤计算机辅助下个性化诊疗的探讨  

A study of computer-assisted personalized treatment of maxillofacial bone tumor

作　　者：张新凤[1] 董智伟[2] 薛聪聪[2] 吕大为[2] 张力[2] 

机构地区：[1]辽宁医学院沈阳军区总医院校外培养基地,辽宁锦州121001 [2]沈阳军区总医院,辽宁沈阳110016

出　　处：《临床口腔医学杂志》2016年第4期228-229,共2页Journal of Clinical Stomatology

基　　金：辽宁科技攻关项目(2012225019)

摘　　要：目的:计算机辅助下个性化诊疗颌骨肿瘤,提高诊断的准确性、手术的精确性,缩短了手术时间。方法:颌骨肿瘤病例40例,分为两组,每组20例。A组在计算机辅助下个性化诊疗,B组经三维重建得到的立体模型,按以往经验,术中切除肿瘤,常规取骨或重建板重建下颌骨。对比两组病例术前、术后三维CT重建效果,从冠状面、矢状面、横断面对比各个标记点较术前移位情况,手术时间,肿瘤复发率。结果:所有患者均顺利完成手术,术后三维CT重建显示A组重建的颌骨外形良好,与术前设计基本一致,颌骨标记点较术前平均移位(1.53±0.17)mm,随访2年均无复发。B组大部分颌骨外形良好,颌骨标记点较术前平均移位(3.53±0.57)mm,随访2年有2例复发。结论:计算机辅助下个性化诊疗颌骨肿瘤,可提高诊断的准确性及修复效果,缩短了手术时间。Objective：The applications o of the computer-assisted personalized therapy of maxillofacial bone tumor,may improve the accuracy of diagnosis and surgical precision and reduce surgery time. Method：40 patients with maxillofacial bone tumor were collected,and were randomly divided into A,B two group. Patients in group A were treated with computer-assisted personalized therapy,the three-dimensional model was obtained after reconstruction of group B patients,according to past experience,remove the tumor and reconstructed mandible. Then 3D CT reconstructions were performed in every patient The assessments of maxillofacial markers were gained from coronal,sagittal,cross-sectional and the surgery time and the tumor recurrence rate. Result：All patients were successfully operated,three-dimensional CT reconstruction displaying all patients in group A reconstruction of the mandible in wonderful shape,consistent with the preoperative design,maxillofacial markers compared with preoperative average shift（1.53±0.17）mm,all patients have been follow-up 2 years,there is no relapse. Group B patients in good shape most of the mandible,maxillofacial markers compared with preoperative mean shift（3.53±0.57）mm,all patients have been follow-up 2 years,2 cases recurring. Conclusion：computer-assisted personalized therapy of maxillofacial bone tumor can effectively improves the accuracy of diagnosis,improved repair effect,reduce the operation time.

关 键 词：颌面部 骨肿瘤 计算机辅助技术 个性化 

分 类 号：R782.2[医药卫生—口腔医学]