新型记忆弹性丝套管剥离器与伞形剥离器行陡峭羊上颌窦底黏膜剥离的研究  

Comparison of stripping of steep sheep maxillary sinus mucosal with new-type memory elastic silk sleeve stripper and umbrella stripper

作　　者：李长健[1] 吕源[1] 李岩峰[1] 樊佳东 刘乐[1] 张月[1] Li Changjian;Lu Yuan;Li Yanfeng;Fan Jiadong;Liu Le;Zhang Yue(Dept.of Stomatology,The First Affiliated Hospital of the PLA General Hospital Beijing 100048,China)

机构地区：[1]中国人民解放军总医院第一附属医院口腔科,北京100048

出　　处：《华西口腔医学杂志》2018年第5期488-492,共5页West China Journal of Stomatology

基　　金：首都临床特色应用研究与成果推广项目(Z17110000101-7154);解放军总医院转化医学项目(2017TM-030)~~

摘　　要：目的在陡峭羊上颌窦行经牙槽嵴顶的上颌窦底内提升术,使用0.012、0.014型号新型记忆弹性丝套管剥离器以及伞形剥离器剥离窦底黏膜,测量剥离长度,对比剥离效果。方法经羊头颅计算机体层摄影选择窦底有60°~90°坡度的山羊,建立动物模型72个,并随机分成3组(n=24):A(0.012型号)、B(0.014型号)、C(伞形剥离器)组。冲顶后行经牙槽嵴上颌窦底黏膜的剥离,待达到剥离极限或黏膜穿孔时测量剥离长度。结果 A组剥离黏膜的平均长度为11.3 mm±4.6 mm,3例出现上颌窦黏膜穿孔;B组剥离黏膜的平均长度为17.5 mm±5.0 mm,1例出现上颌窦黏膜穿孔;C组剥离黏膜的平均长度为4.2 mm±1.3 mm,4例出现上颌窦黏膜穿孔。经方差分析得3组总体均值不全相同(P<0.01),再通过Dunnett’s T3检验得出,3组剥离窦底黏膜长度的均数两两比较差异均有统计学意义(P<0.05)。结论新型记忆弹性丝套管剥离器能够有效剥离陡峭的上颌窦底黏膜,而0.014型号剥离效果更好,且相对安全。Objective This work aims to investigate the effect of stripping of steep sheep maxillary sinus by using 0.012 or 0.014 model new-type memory elastic silk sleeve stripper and umbrella stripper. Methods Goats with sinus floor gradients of 60° to 90° were selected by computed tomography of sheep head. A total of 72 animal models were established and randomized into three groups（n=24）： group A（0.012 model）, B（0.014 model） and C（umbrella stripper）. Alveolar and maxillary sinus mucosa were stripped after crowning, and stripping length was measured when the stripping limit was reached or mucosal perforation occurred. Results The average stripping length of mucosa in group A was 11.3 mm±4.6 mm, and three cases experienced perforation of sinus floor mucosa. The average stripping length of mucosa in group B was 17.5 mm±5.0 mm, and one case experienced perforation of sinus floor mucosa. The average stripping length of mucosa in group C was 4.2 mm±1.3 mm, and four cases experienced perforation of sinus floor mucosa. The difference among the three groups was statistically significant（P〈0.01） according to variance analysis. Moreover, the comparison between any two means was also statistically significant according to Dunnett＇s T3 test（P〈0.05）. Conclusion The new-type memory elastic silk sleeve stripper effectively stripped steep maxillary sinus mucosa. The 0.014 model exhibited superior peeling effect and was relatively safe.

关 键 词：上颌窦 上颌窦底提升 新型记忆弹性丝套管剥离器 

分 类 号：R783[医药卫生—口腔医学]