香肠技术骨增量应用现状  

Current advances of the sausage technique in bone augmentation

作　　者：周延民[1] 刘修玉 陈思宇 ZHOU Yanmin;LIU Xiuyu;CHEN Siyu(Department of Implantology,Hospital of Stomatology,Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学口腔医院口腔种植中心,吉林长春130021

出　　处：《口腔疾病防治》2025年第4期260-267,共8页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：国家自然科学基金项目(82371006)。

摘　　要：充足的骨组织是保证种植体长期稳定性的先决条件。Urban教授提出了基于引导骨再生(guided bone regeneration,GBR)原理的“香肠技术”。研究显示,该技术在牙槽骨水平向增量方面达(5.3±2.3)mm,垂直向增量为(4.2±1.9)mm,显著优于传统GBR方法。香肠技术利用生物膜的弹性与韧性,结合膜钉固定,将自体骨与骨移植材料稳定在植骨区域,有效防止移位并增强空间稳定性。骨替代材料和自体骨的使用兼顾了自体骨的成骨活性和骨替代材料的低吸收速率;在受区的皮质骨使用球钻进行滋养孔的制备,为间充质干细胞和骨祖细胞向骨再生区域迁移提供了通路,同时也可以加速创口愈合早期新生血管生成;充分减张缝合,以确保在缝合时不对愈合区域施加过大的压力。这有效提高了香肠技术的可预测性。尽管该技术疗效显著,但潜在的软硬组织并发症可能影响患者恢复及手术结果。因此,深入探讨其并发症及诱因,对于提升香肠技术的临床安全性和有效性具有重要意义。本文总结了香肠技术的应用原理、临床效果、屏障膜的应用、骨移植材料的选择及并发症防治,旨在为其在口腔种植领域的广泛应用提供参考。Sufficient bone tissue is required to ensure the long-term stability of implants.Based on the principles of guided bone regeneration,Dr.Istvan Urban proposed the“sausage technique”.Research indicates that the horizontal bone augmentation observed with the sausage technique averages(5.3±2.3)mm and the vertical bone augmentation averages(4.2±1.9)mm,which is significantly greater than the outcomes achieved with traditional guided bone regeneration techniques.The sausage technique is reliable because the biological membrane has sufficient elasticity and toughness with the application of membrane screws,which stabilizes the mixture of autologous bone and bone graft materials in the bone grafting area and prevents the grafting materials from being displaced.Using substitute materials for autologous bone graft balances the osteogenic activity and the low graft absorption rate.A ball drill is used to prepare nourishing holes in the cortical bone of the recipient area,providing a pathway for mesenchymal stem cells and bone progenitor cells to migrate to the bone regeneration area.Furthermore,this method accelerates the early angiogenesis of wound healing,fully reduces tension during suturing,and ensures that excessive pressure is not applied to the healing area during suturing.Thus,the sausage technique is consistent and reliable.Despite the good outcomes demonstrated by the sausage technique in clinical applications,its potential complications related to soft and hard tissue have attracted widespread attention.These complications negatively affect the patient’s recovery process and influence the final results of the surgery.Therefore,a complete understanding of the complications associated with the sausage technique and their underlying causes is necessary to enhance the clinical safety and effectiveness of the sausage technique.This article summarizes the application principles,clinical effects,barrier membrane applications,selection of bone transplant mate-rials,and related complications of the sausage techniqu

关 键 词：香肠技术 骨增量 疗效观察 组织再生 牙种植 胶原膜 异种颗粒状骨替代材料 并发症 

分 类 号：R78[医药卫生—口腔医学]