数字化术前模拟在面部软组织缺损精准修复中的应用  

Application of digital preoperative simulation in the precise repair of facial soft tissue defects

作　　者：葛良玉[1] 季莉 王浩然 张杰[1] 李志萍[1] 顾倩平[1] 孟箭[1] GE Liangyu;JI Li;WANG Haoran;ZHANG Jie;LI Zhiping;GU Qianping;MENG Jian(Department of Stomatology,Xuzhou Central Hospital,Jiangsu Province,221000,China;Xuzhou Hospital of Traditional Chinese Medicine;Bengbu Medical College,Anhui Province)

机构地区：[1]徐州市中心医院口腔科,221000 [2]徐州市中医院 [3]蚌埠医学院

出　　处：《实用口腔医学杂志》2023年第1期69-73,共5页Journal of Practical Stomatology

基　　金：国家口腔疾病临床医学研究中心临床研究项目(编号:NCRCO-202101);江苏省卫生计生委科研资助项目(编号:H2017080);徐州市医学创新(技术攻关)团队(编号:XWCX201604);徐州市科技局重点研发项目(编号:KC17196)。

摘　　要：目的:探讨术前虚拟设计指导病灶切除及股前外侧皮瓣(ALTF)制备,修复重建口腔颌面部软组织缺损的可行性及精确性。方法:纳入20例采用股前外侧皮瓣为供区修复口腔颌面部缺损的患者,术前虚拟设计出受区缺损及软组织瓣大小;术中病灶切除及股前外侧皮瓣制备严格按照虚拟设计执行,应用排水法测量病灶及软组织瓣实际体积,应用配对样本t检验统计分析。结果:术前虚拟设计的供受区体积、实际切除的病灶体积、实际应用的皮瓣体积(cm^(3))分别为34.50±2.35、34.60±2.58和35.15±2.41(F=0.408,P=0.667)。结论:数字化技术指导临床病灶切除范围及股前外侧皮瓣制备可精确修复颌面部软组织缺损。Objective:To investigate the feasibility and accuracy of preoperative virtual design to guide lesion resection and preparation of anterolateral femoral flap(ALTF)in the reconstruction of oral and maxillofacial soft tissue defects.Methods:20 cases underwent oral and maxillofacial soft tissue defects reconstruction with ALTFs were enrolled.The defect size of the recipient area and the virtual design of ALTF was simulated.The lesion resection and ALTF preparation were carried out according to the virtual design.The cutting volume of the recipient area and the actual volume of the ALTF were measured by drainage method.Paired sample t-test was used for statistical analysis.Results:The volumes(cm^(3))of the preoperative virtual design,the removed lesion area and the actual ALTFs were 34.50±2.35,34.60±2.58 and 35.15±2.41 respectively(F=0.408,P=0.667).Conclusion:It is feasible and accurate to use digital technology for preoperative virtual design of lesion resection range and ALTF preparation.

关 键 词：术前虚拟设计 股前外侧皮瓣 修复重建 

分 类 号：R782.26[医药卫生—口腔医学]