数字医学技术辅助腓骨皮瓣移植修复下颌骨缺损应用的进展  

Progress in application of digital medical technology assisted fibular flap transfer in repair of mandibular defects

作　　者：杨克勤(综述)[1] 莫勇军(审阅)[1] YANG Keqin;MO Yongjun(Department of Hand-Foot Microsurgery Orthopaedic Surgery,Guigang People's Hospital,Guigang,Guangxi Zhuang Autonomous Region 537100,China)

机构地区：[1]贵港市人民医院手足显微骨科,广西壮族自治区贵港537100

出　　处：《中华显微外科杂志》2021年第4期478-480,I0004,共4页Chinese Journal of Microsurgery

基　　金：贵港市科学研究与技术开发计划项目[1908036(社自)];广西科技计划项目(AD17129017)。

摘　　要：吻合血管的腓骨皮瓣游离移植修复下颌骨缺损,具有诸多优点,已成为下颌骨重建修复的主要手段。然而,传统意义上的游离腓骨皮瓣修复重建下颌骨缺损手术,缺乏个性化的设计与精确的手术引导,往往难以达到精确的修复重建效果。个性化和精准化功能重建概念的提出,以及数字医学技术在临床上应用,为解决这一难题提供了新的途径。数字医学技术在腓骨皮瓣移植修复下颌骨缺损的应用是目前研究的热点之一。本文主要介绍三维重建技术、虚拟手术设计(VSP)技术以及3D打印技术等数字医学技术在腓骨皮瓣移植修复下颌骨缺损中的应用特点。Free vascularised fibular flap has many advantages in repair of mandibular defects,and it has become the main method in the mandibular reconstruction.However,the traditional free fibular flap used to repair the mandibular defect is lack of individualised design and precise surgical guidance,and it is difficult to achieve accurate repair and the effect of reconstruction.The concept of personalised and accurate functional reconstruction and the clinically application of digital medical technology provides a new approach to solve the problems.The application of digital medical technology in the repair of mandibular defects with fibular flap is one of the hotspots of current research.This article introduces the application characteristics of digital medical technology,such as 3-dimensional reconstruction technology,virtual surgery planning(VSP)technology and 3D printing technology,in the repair of mandibular defects with fibular flap transfer.

关 键 词：腓骨皮瓣 下颌骨缺损 数字医学技术 3D打印技术 显微外科手术 

分 类 号：R782.4[医药卫生—口腔医学]