不同植骨材料在侧壁开窗上颌窦底提升术中临床疗效观察  

Different bone grafting materials in lateral window sinus floor elevation

作　　者：李红艳 吴德宏[1] 秦蓉[1] 兰玉燕 许少媛 马延 LI Hongyan;WU Dehong;QIN Rong;LAN Yuyan;XU Shaoyuan;MA Yan(Department of Stomatology,Yellow River Sanmenzia Hospital,Sanmenzia,Henan 472000,China;Stomatological Hospital Af filiated to Southwest Medical University,Luzhou,Sichuan 646099,China)

机构地区：[1]黄河三门峡医院口腔科,河南三门峡472000 [2]西南医科大学附属口腔医院,四川泸州646099

出　　处：《中华实用诊断与治疗杂志》2024年第2期169-173,共5页Journal of Chinese Practical Diagnosis and Therapy

基　　金：四川省医学青年创新科研课题计划(Q22064)。

摘　　要：目的观察侧壁开窗上颌窦底提升术中应用Bio-Oss骨粉、Bio-Oss骨粉+浓缩生长因子(CGF)、Sticky bone 3种植骨材料的临床疗效。方法2021年2月—2022年2月黄河三门峡医院诊治因上颌后牙区牙列缺损且上颌窦底剩余骨高度(RBH)不足需行种植修复的患者74例,行侧壁开窗上颌窦底提升术、延期行种植体植入术,根据上颌窦底提升术中植骨材料分为Bio-Oss骨粉组(单纯Bio-Oss骨粉)24例、Bio-Oss骨粉+CGF组(Bio-Oss骨粉与自体CGF混合物)25例、Sticky bone组(Bio-Oss骨粉与自体CGF、自体纤维蛋白混合物)25例,比较3组体质量指数及术后疼痛评分、面部肿胀高度等,种植体植入即刻、种植体植入术后6个月及种植体功能负载12个月时种植体稳定系数(ISQ),种植体植入前、种植体植入即刻、种植体植入术后6个月及种植体功能负载12个月时上颌窦底RBH。结果3组糖尿病、冠心病、吸烟比率及体质量指数、术后疼痛评分、面部肿胀高度比较差异均无统计学意义(P>0.05)。种植体植入即刻、种植体植入术后6个月及种植体功能负载12个月时Sticky bone组种植体ISQ值(77.88±0.46、80.34±0.35、82.45±0.31)均高于Bio-Oss+CGF组(76.45±0.25、78.45±0.94、80.11±0.24)、Bio-Oss骨粉组(75.11±0.36、77.22±0.32、79.45±0.37)(P<0.05),Bio-Oss+CGF组均高于Bio-Oss骨粉组(P<0.05);3组种植体植入即刻、种植体植入术后6个月及种植体功能负载12个月时种植体ISQ值均依次升高(P<0.05)。种植体植入前3组上颌窦底RBH比较差异无统计学意义(P>0.05);种植体植入即刻、种植体植入术后6个月及种植体功能负载12个月时Sticky bone组上颌窦底RBH[(13.88±0.45)、(12.75±0.36)、(12.64±0.31)mm]均高于Bio-Oss+CGF组[(13.45±0.25)、(12.41±0.47)、(11.78±0.85)mm]、Bio-Oss骨粉组[(13.17±0.86)、(12.13±0.66)、(11.41±0.14)mm](P<0.05),Bio-Oss+CGF组与Bio-Oss骨粉组比较差异均无统计学意义(P>0.05);Bio-Oss+CGF组、Bio-Oss骨粉组Objective To observe the clinical efficacies of Bio-Oss,Bio-Oss+concentrated growth factor(CGF)and Sticky bone in lateral window sinus floor elevation surgery.Methods Seventy-four patients with posterior maxillary dentition defect and maxillary sinus floor residual bone height(RBH)deficiency were performed lateral window sinus floor elevation surgery and delayed implantation in Yellow River Sanmenxia Hospital from February 2021 to February2022,and were divided into Bio-Oss group(n=24),Bio-Oss+CGF group(n=25)and Sticky bone group(Bio-Oss mixed with CGF and autologous fibrin glue)(n=25)according to bone graft material.The body mass index,postoperative pain,facial swelling height,implant stability quotients(ISQs)immediately after implantation,6 months after implantation and 12 months after implant functional load,and RBHs before implantation,immediately after implantation,6 months after implantation and 12 months of implant functional load were compared among three groups.Results There were no significant differences in the percentages of diabetes,coronary heart disease and smoking habits,body mass index,postoperative pain score and facial swelling height among three groups(P>0.05).The ISQs were higher in Sticky bone group(77.88±0.46,80.34±0.35,82.45±0.31)than those in Bio-Oss+CGF group(76.45±0.25,78.45±0.94,80.11±0.24)and Bio-Oss group(75.11±0.36,77.22±0.32,79.45±0.37)immediately after implantation,6 months after implantation and 12 months after implant functional load(P<0.05),and higher in Bio-Oss+CGF group than those in Bio-Oss group(P<0.05).The ISQs increased sequentially immediately after implantation,6 months after implantation and 12 months after implant functional load in three groups(P<0.05).The RBH showed no significant difference before implantation among three groups(P>0.05).The RBHs were greater in Sticky bone group[(13.88±0.45),(12.75±0.36),(12.64±0.31)mm]than those in Bio-Oss+CGF group[(13.45±0.25),(12.41±0.47),(11.78±0.85)mm]and Bio-Oss group[(13.17±0.86),(12.13±0.66),(11.41±0.14)mm

关 键 词：侧壁开窗上颌窦底提升术 种植体植入术 植骨材料 Sticky bone 种植体稳定系数 剩余骨高度 

分 类 号：R783.6[医药卫生—口腔医学]