施耐德膜增厚对上颌窦底提升术影响的研究进展  

Recent advances of Schneiderian membrane thickening and the effect of maxillary sinus floor augmentation

作　　者：杨阳 张歆缘 满毅[2] 屈依丽[3] YANG Yang;ZHANG Xinyuan;MAN Yi;QU Yili(Department of Prosthodontics,West China School of Stomatology,Sichuan University,Chengdu 610041,Sichuan Province,China;State Key Laboratory of Oral Diseases&Department of Implantology,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,Sichuan Province,China;Department of Prosthodontics,Chengdu 610041,Sichuan Province,China)

机构地区：[1]四川大学华西口腔医学院修复学系教研室,四川成都610041 [2]口腔疾病研究国家重点实验室,四川大学华西口腔医院种植科,四川成都610041 [3]口腔疾病研究国家重点实验室,四川大学华西口腔医院修复科,四川成都610041

出　　处：《口腔颌面外科杂志》2021年第2期114-119,共6页Journal of Oral and Maxillofacial Surgery

基　　金：国家重点研发计划(2016YFC1102700/2016YFC1102705)。

摘　　要：上颌窦窦底内衬的施耐德膜是上颌窦底提升术的解剖基础,它与窦底骨皮质的疏松附着和良好的抗张强度是手术进行的关键因素。术前对患者进行锥形束计算机断层摄影(cone-beam computed tomography,CBCT)检查时,常常可以观察到施耐德膜厚度异常的状态,包括黏膜增厚、囊肿和息肉等。施耐德膜厚度异常对手术效果影响如何,它是否是上颌窦底提升术的禁忌证,目前仍有一定争议。本文将介绍施耐德膜的结构、功能及判断黏膜厚度的参考因素,并将黏膜厚度增加对手术影响的相关研究进展进行综述,以期为临床医生的临床决策提供参考。The Schneiderian membrane which attached to the floor of the maxillary sinus acted as the anatomical basis of the maxillary sinus floor augmentation.Its loose attachment to the cortical bone of the sinus floor and the good tensile strength are the key factors for the operation.Abnormal Schneiderian membrane status,including membrane thickening,cysts and polyps formation can often be observed when patients are examined by cone-beam computed tomography,CBCT before operation.How the abnormal status of Schneiderian membrane affects the outcome of operation and whether it is a contraindication for maxillary sinus floor augmentation is still controversial.This article will introduce the structure and function of Schneiderian membrane and the reference factors for judging membrane thickness,and review the research progress on the effect of increased membrane thickness on surgery,in order to provide reference for clinicians′clinical decision-making.

关 键 词：施耐德膜 上颌窦底提升术 牙种植 

分 类 号：R782.05[医药卫生—口腔医学]