动态导航引导颧种植体植入的临床工作流程  

Surgical workflow of dynamic navigation system guided zygomatic implant surgery

作　　者：蓝耕良 陶宝鑫 黄伟[1] 王凤[2] 李顺顺 吴轶群[1] Lan Gengliang;Tao Baoxin;Huang Wei;Wang Feng;Li Shunshun;Wu Yiqun(Department of Second Dental Center,Shanghai Ninth People's 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 200001,China;Department of Oral Implantology,Shanghai Ninth People’s 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 200001,China;College of Stomatology,Shanghai Jiao Tong University,Shanghai 200001,China.)

机构地区：[1]上海交通大学医学院附属第九人民医院口腔第二门诊部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,200001 [2]上海交通大学医学院附属第九人民医院口腔种植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,200001 [3]上海交通大学医学院·口腔医学院,200001

出　　处：《中国口腔种植学杂志》2022年第1期9-15,共7页Chinese Journal of Oral Implantology

基　　金：上海交通大学医学院附属第九人民医院口腔医学研究型学科基金(KQYJXK2020);中国医学科学院医学与健康科技创新工程项目资助(2019-I2M-5-037)。

摘　　要：由于颧骨骨量有限、周围解剖结构较复杂,颧种植体植入手术具有高度的技术敏感性。在临床上,动态导航系统的应用使医生能够在实时监控下完成扩孔和种植体植入,最大可能地降低手术风险,实现术前规划方案。但导航手术仍存在误差,如配准标记物类型、分布与数目会影响配准精度,继而对导航精度产生影响。导航手术精度的降低会引起严重的颧种植手术外科并发症。同时,术者对颧种植导航流程的熟悉程度和对导航手术的熟练程度也可能会对最终精度产生影响。本文总结了临床颧种植导航手术的具体流程,并对影响颧种植导航精度的相关因素做一总结。Due to the surrounding complex anatomical structures and the limited volume of zygoma bone,zygomatic implant placement is a highly technique-sensitive surgery.Clinically,applying a dynamic navigation system enables doctors to complete the implant placement under real-time monitoring,minimizing surgical risks and realizing preoperative planning.However,the dynamic navigation system still has an inevitable error caused by the type,distribution,and the number of registration markers,which will affect the registration accuracy,affecting the dynamic navigation accuracy at the surgery.The reduced precision of dynamic navigation surgery can cause serious surgical complications of zygomatic implant surgery.Furthermore,the operator's familiarity with the dynamic navigation surgical process and proficiency in the zygomatic implant surgery may impact the final accuracy.This article summarizes the standard procedures and relevant factors that affect the accuracy of zygomatic implant surgery with a dynamic navigation system.

关 键 词：口腔种植 颧种植体 动态导航系统 手术流程 精准医学 

分 类 号：R783.6[医药卫生—口腔医学]