计算机导航技术在下颌骨成釉细胞瘤切除及修复重建手术中的应用探讨  

Application of computer-assisted navigation technology in the resection and reconstruction of mandibular ameloblastoma

作　　者：刘敏[1] 唐恩溢[1] 刘喆 葛苏蒙 吴朱昊 张兴伟 孙国文[1] LIU Min;TANG Enyi;LIU Zhe;GE Sumeng;WU Zhuhao;ZHANG Xingwei;SUN Guowen(Department of Oral and Maxillofacial Surgery,Nanjing Stomatological Hospital,Medical School of Nanjing University,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属口腔医院,南京市口腔医院口腔颌面外科,江苏南京210008

出　　处：《口腔医学》2023年第1期62-69,共8页Stomatology

基　　金：国家自然科学基金青年科学基金项目(82103516);江苏省临床科技项目(BL2013005);南京市医疗卫生科技项目(201503038)。

摘　　要：目的利用计算机导航技术指导下颌骨成釉细胞瘤病灶切除手术及修复重建,评价其治疗效果。方法选择南京大学医学院附属口腔医院,南京市口腔医院口腔颌面外科2017年1月—2022年5月就诊的患者12例,均在病灶切除同时同期完成血管化腓骨移植,其中,导航组手术6例,非导航组手术6例,评价计算机导航技术在该术式中的利弊。结果12例手术均为同一名术者完成,导航组固定导航支架及实施导航平均时间约15 min,相较于非导航组,导航组平均手术时间缩短约10 min,手术切除范围与腓骨修复重建匹配度高,术后咬合关系恢复良好。结论利用下颌骨参考架,在计算机导航技术引导下实施下颌骨成釉细胞瘤切除及修复重建手术,可以使手术快速、精准地完成。Objective Using computer-assisted navigation technology to guide the resection and reconstruction of mandibular ameloblastoma,evaluating its treatment effect.Methods Twelve patients were selected from the Affiliated Stomatological Hospital of Nanjing University from January 2017 to May 2022.All 12 patients accepted same surgery which included resection of mandibular ameloblastoma and reconstruction by fibula musculocutaneous flap.Among them,6 cases were included in the navigation group;6 cases were in the non-navigation group.Advantages and disadvantages of computer-assisted navigation technology in this operation were evaluated with these cases.Results The 12 operations were performed by the same operator.The average time for fixing the navigation bracket and performing navigation in the navigation group was about 15 minutes.Compared with the non-navigation group,the average operation time in the navigation group was shortened by about 10 minutes.In the navigation group,the mandible resection range matched the fibula musculocutaneous flap well,and the occlusal relationship recovered well.Conclusion Using the mandibular reference frame,under the guidance of computer-assisted navigation technology,the resection and reconstruction of mandibular ameloblastoma can be performed quickly and accurately.

关 键 词：计算机导航技术 成釉细胞瘤 下颌骨参考架 实时导航 

分 类 号：R739.82[医药卫生—肿瘤]