锥形束CT数字化模拟技术在阻生牙拔除术中的临床应用研究  

Clinical Application of Cone Beam-CT Digital Simulation Technology in Impacted Tooth Extraction

作　　者：吴亮颖 刘坚 张卫平 张昀 宋天柱 路贵忠 WU Liang-ying;LIU Jian;ZHANG Wei-ping;ZHANG Yun;SONG Tian-zhu;LU Gui-zhong(Radiology Department of Lanzhou Hospital of Stomatology,Lanzhou 730000,China;Maxillofacial Surgery of Lanzhou Hospital of Stomatology,Lanzhou 730000,China;Special Clinic Department of Lanzhou Hospital of Stomatology,Lanzhou 730000,China;Key Laboratory for Oral Disease of Gansu Province,Northwest University for Nationalities,Lanzhou 730000,China)

机构地区：[1]兰州市口腔医院影像放射科,甘肃兰州730000 [2]兰州市口腔医院颌面外科,甘肃兰州730000 [3]兰州市口腔医学院特诊科,甘肃兰州730000 [4]西北民族大学甘肃省口腔疾病研究重点实验室,甘肃兰州730000

出　　处：《口腔医学研究》2018年第7期742-745,共4页Journal of Oral Science Research

基　　金：甘肃省口腔疾病研究重点实验室开放课题项目(编号:SZD201602),兰州市城关区科技发展计划项目(编号:2016CGKJ106),兰州市人才创新创业项目(编号:2015-RC-19)

摘　　要：目的:回顾性分析锥形束CT(cone beam-CT,CBCT)数字化模拟技术在口腔外科阻生牙拔除术中的应用价值。方法:选取2016年6月~2017年3月我院口腔外科下颌第三磨牙水平低位阻生牙患者64例作为研究对象,研究组和对照组各32例患者。研究组应用基于CBCT的数字化模拟技术指导进行阻生牙拔除,对照组应用传统CBCT影像辅助进行阻生牙拔除,比较分析两组治疗疗效。结果:研究组手术时间低于对照组(P<0.05);研究组治疗有效率高于对照组(P<0.05);研究组术中、术后并发症发生率低于对照组(P<0.05);研究组患者满意度优于对照组(P<0.05)。结论:基于锥形束CT的数字化模拟技术在口腔外科阻生牙拔除术中的应用价值较高,医师可对患者的情况进行多方位、多角度的观测了解,为制定正确完善的治疗方案和有效的医患沟通提供帮助,值得推广应用。Objective:To retrospective analyze 3D visualization technology for cone beam CT(CBCT)for oral surgery of complex teeth or maxillary teeth.Methods:From January 2016 to December 2016,64 patients with complex teeth or maxillary teeth underwent oral surgery in our hospital were researched.There were 32 patients in research group and 32 patients in control group.Research group patients were underwent 3D visualization technology CBCT for oral surgery for complex teeth or maxillary teeth,and the control group patients were used traditional CBCT for oral surgery for complex teeth or maxillary teeth.The clinical effect was compared.Results:The operational time of the research group was less than that of the control group(P<0.05).Clinical outcomes of the research group were better than those of the control group(P<0.05).Perioperative complications of the research group were less than those of the control group.Patient’s satisfaction of research group was better than that of control group(P<0.05).Conclusion:Digital simulation of CBCT in oral and maxillofacial surgery of impacted teeth is valuable.It helps doctors observe the directions and angles.The patients can be diagnosed before operation.It helps doctors plan treatment and effective communicate with patients.It is worthy of popularization and application.

关 键 词：锥形束CT 数字化模拟技术 阻生牙 拔除术 

分 类 号：R782.11[医药卫生—口腔医学]