下颌支矢状骨劈开术并发症防治的专家共识  

Experts’consensus on precaution and treatment for complications of sagittal split ramus osteotomy

作　　者：祝颂松[1] 王旭东[2] 杨学文[3] 王晓霞[4] 田磊 刘曙光 郑广森[7] 唐正龙 吴国民[9] 李志勇 白晓峰[11] 黄旋平[12] 黄立[13] 习伟宏[14] 朱耀旻 Zhu Songsong;Wang Xudong;Yang Xuewen;Wang Xiaoxia;Tian Lei;Liu Shuguang;Zheng Guangsen;Tang Zhenglong;Wu Guomin;Li Zhiyong;Bai Xiaofeng;Huang Xuanping;Huang Li;Xi Weihong;Zhu Yaomin(State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China;Dept.of Oral and Craniomaxillofacial Surgery,Shanghai Ninth Peoples Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology&Shanghai Research Institute of Stomatology,Shanghai 200011,China;Dept.of Oral and Maxillofacial Surgery,School and Hospital of Stomatology,Wuhan University,Wuhan 430079,China;Dept.of Oral and Maxillofacial Surgery,Peking University School and Hospital of Stomatology,Beijing 100081,China;Key Laboratory of Military Stomatology,National Clinical Research Center for Oral Diseases&Shaanxi Clinical Research Center for Oral Diseases,Dept.of Oral and Maxillofacial Surgery,School of Stomatology,The Air Force Medical University,Xi’an 710032,China;Dept.of Oral and Maxillofacial Surgery,Stomatology Hospital,Southern Medicine University,Guangzhou 510280,China;Dept.of Oral and Maxillofacial Surgery,Hospital of Stomatology,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Stomatology,Guanghua School of Stomatology,Sun Yat-sen University,Guangzhou 510055,China;Dept.of Oral and Maxillofacial Surgery,Stomatological Hospital of Guizhou Medical University,Guiyang 550004,China;Dept.of Oral and Maxillofacial Surgery,Stomatology Hospital,Jilin University,Changchun 130021,China;The Affiliated Stomatology Hospital,Zhejiang University School of Medicine,Key Laboratory of Oral Biomedical Research of Zhejiang Province,Hangzhou 310006,China;Dept.of Oral and Maxillofacial Surgery,China Medical University School and Hospital of Stomatology,Liaoning Provincial Key Laboratory of Oral Diseases,Sh

机构地区：[1]口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心四川大学华西口腔医院,成都610041 [2]上海交通大学医学院附属第九人民医院口腔颅颌面科上海交通大学口腔医学院国家口腔医学中心国家口腔疾病临床医学研究中心上海市口腔医学重点实验室上海市口腔医学研究所,上海200011 [3]武汉大学口腔医学院·口腔医院口腔颌面外科,武汉430079 [4]北京大学口腔医院口腔颌面外科,北京100081 [5]军事口腔医学国家重点实验室口腔疾病国家临床医学研究中心陕西省口腔疾病临床医学研究中心空军军医大学口腔医学院口腔颌面外科,西安710032 [6]南方医科大学口腔医院颌面外科,广州510280 [7]中山大学附属口腔医院口腔颌面外科广东省口腔医学重点实验室中山大学光华口腔医学院,广州510055 [8]贵州医科大学附属口腔医院口腔颌面外科,贵阳550004 [9]吉林大学口腔医院口腔颌面外科,长春130021 [10]浙江大学医学院附属口腔医院浙江省口腔生物医学研究重点实验室,杭州310063 [11]中国医科大学口腔医学院·附属口腔医院口腔颌面外科辽宁省口腔疾病重点实验室,沈阳110002 [12]广西医科大学附属口腔医院广西口腔颌面修复与重建研究自治区级重点实验室广西颅颌面畸形临床医学研究中心颌面外科疾病诊治研究重点实验室,南宁530021 [13]福建医科大学附属第一医院口腔颌面外科福建医科大学面部整复与重建研究室,福州350005 [14]南昌大学附属口腔医院口腔颌面外科江西省口腔生物医学重点实验室,南昌330006 [15]深圳大学总医院口腔颌面外科,深圳518000

出　　处：《华西口腔医学杂志》2022年第3期247-254,共8页West China Journal of Stomatology

基　　金：四川大学华西口腔医院临床前沿技术研发项目(LCYJ-2020-YF-1)。

摘　　要：下颌支矢状骨劈开术(SSRO)是正颌外科中最为常用的一类矫治下颌骨畸形的手术。由于局部解剖和操作步骤的复杂性,SSRO出现各类并发症的可能性较大,甚至可能造成严重的不良后果。诊疗策略的选择及转归与并发症的类型及其临床表现密切相关。为此,国内相关专家编写本共识,对SSRO各类常见并发症的原因、预防、处置措施进行阐述,以期提高广大同行对SSRO并发症的认识,确保手术安全进行并获得良好效果。Sagittal split ramus osteotomy(SSRO)is a versatile orthognathic procedure for correcting mandibular deformities.Various complications can possibly occur when performing SSRO,and it can even cause serious adverse consequences because of the complexity of anatomy and operative procedures.The types of complications and their accompanying clinical manifestations are closely related to the choice of diagnosis and treatment strategies and clinical outcomes.To discuss the causes,prevention,and treatment measures of various common complications of SSRO,domestic orthognathic surgery experts prepared this consensus to increase the awareness of SSRO complications,thereby ensuring safe surgical procedure and good results.

关 键 词：下颌支矢状骨劈开术 正颌外科 并发症 专家共识 牙颌面畸形 

分 类 号：R782.05[医药卫生—口腔医学]