两种上颌窦内提升术对上颌窦内垂直骨量不足患者的疗效  

Curative effect of two kinds of internal maxillary sinus elevation on patients with insufficient vertical bone mass in maxillary sinus

作　　者：李锦宇[1] 张秋菊[1] LI Jin-yu;ZHANG Qiu-ju(Department of Stomatology,Chuzhou First People's Hospital,Chuzhou,Anhui 239000,China)

机构地区：[1]滁州市第一人民医院口腔科

出　　处：《中国临床研究》2020年第1期84-87,共4页Chinese Journal of Clinical Research

摘　　要：目的探讨两种上颌窦内提升术治疗上颌窦内垂直骨量不足患者的近远期疗效。方法选取2017年3月至2019年3月收治的58例上颌窦内垂直骨量不足患者为研究对象,根据治疗方法的不同将其分为水压法组(n=30)和冲顶法组(n=28)。水压法组采用水压法治疗,冲顶法组采用冲顶法治疗。比较两组手术时间、视觉模拟评分(VAS)、上颌窦底提升高度、骨吸收高度、种植体存留率及不良反应情况。结果两组手术时间和上颌窦底提升高度比较差异无统计学意义(P> 0. 05)。水压法组VAS评分明显低于冲顶法组(P <0. 01)。术后6、12、24个月,两组骨吸收高度逐渐增高(P <0. 01);术后6、12、24个月,水压法组骨吸收高度明显低于冲顶法组(P <0. 01)。两组种植体存留率比较差异无统计学意义(P> 0. 05)。两组患者术中及随访期间均未发生上颌窦黏膜穿孔、出血等并发症。结论水压法和冲顶法治疗上颌窦内垂直骨量不足患者均能够有效提升上颌窦底高度,种植体留存率较高,且具有较高的安全性;而水压法较冲顶法近远期吸收少,患者术后疼痛感低。Objective To explore the short-term and long-term effects of two kinds of internal maxillary sinus elevation in the treatment of patients with insufficient vertical bone mass in maxillary sinus. Methods insufficient vertical bone mass in maxillary sinus treated from March 2017 to March 2019 were selected and divided into group A( n = 30) and group B( n = 28) according to the different treatment methods. The operation with hydraulic pressure method was performed in group A,and the operation with osteotome sinus floor elevation technique was conducted in group B. The operative time,visual analogue scale( VAS),lifting height of the maxillary sinus floor,bone resorption height,implant survival rate and adverse reactions were compared between two groups. Results There were no significant differences in the operation time and lighting height of the maxillary sinus floor between two groups( all P > 0. 05). VAS score in group A was significantly lower than that in group B( P < 0. 01). At 6-,12-and 24-month after operation,the bone absorption height increased gradually in both groups( P < 0. 01) and were significantly lower in group A than that in group B( P < 0. 01).There was no significant difference in implant survival rate between two groups( P > 0. 05). No maxillary sinus mucosa perforation or hemorrhage occurred during operation and follow-up period in two groups. Conclusions In the treatment of patients with insufficient vertical bone mass in maxillary sinus,both hydraulic pressure method and osteotome sinus floor elevation technique can effectively improve the maxillary sinus floor elevation and the implant retention rate with high safety.The hydraulic pressure method has less bone absorption and pain in the short-term and long-term clinical treatment.

关 键 词：上颌窦内提升术 水压法 冲顶法 上颌窦垂直骨量不足 

分 类 号：R783.6[医药卫生—口腔医学]