数字化导板技术在腓骨肌皮瓣修复下颌骨缺损中的效果评价及其Meta分析  

Evaluation and Meta Analysis of the Effect of Digital Guide Plate Technique on Fibula Musculocutaneous Flap Repair of Mandible Defect

作　　者：张圣敏 曹长红[1] 韩小虎 谈万业[2] 刘超[2] ZHANG Shengmin;CAO Changhong;HAN Xiaohu;TAN Wanye;LIU Chao(Department of Stomatology,Changzhou Medical College,Cangzhou 061001,Hebei,China;Department of Oral and Maxillofacial Surgery,Qilu Hospital of Shandong University,Jinan 250012,Shandong,China)

机构地区：[1]沧州医学高等专科学校口腔系,河北沧州061001 [2]山东大学齐鲁医院口腔颌面外科,山东济南250012

出　　处：《中国美容医学》2022年第4期94-99,共6页Chinese Journal of Aesthetic Medicine

基　　金：沧州市科技计划项目(编号:213106085)。

摘　　要：目的:评价在腓骨肌皮瓣修复下颌骨缺损手术中应用数字化导板技术的效果。方法:结合临床数据及Meta分析共同评价数字化导板技术修复下颌骨缺损的优势。结果:数字化导板技术可显著降低手术时间和住院时间,显著减少术前术后髁顶点、下颌角及颏点位移,改善张口度,在美观、发音及咀嚼术后满意度方面两种术式没有显著性差异。结论:数字化导板技术可提升手术效率,实现下颌骨重建的精准治疗,改善张口度,在术后满意度方面和传统术式比较两者相当。Objective To evaluate the clinical effect of digital guide plate on repairing mandibular defect with free fibula flap.Methods Combined with clinical data and Meta analysis, the advantages of digital guide plate in repairing mandibular defects were evaluated. Results Digital guide plate technology can significantly reduce operation time, hospital stay,significantly reduce the moving distances of the mandibular landmarks,and improve the mouth opening.There is no significant difference between the two methods in terms of satisfaction. Conclusion It is suggested that digital guide plate technique can improve the accuracy and efficiency of mandibular reconstruction.

关 键 词：数字化技术 下颌骨重建 META分析 游离腓骨瓣 

分 类 号：R782.4[医药卫生—口腔医学]