上颌窦黏膜穿孔的分类、处理方法及研究进展

›› 2019, Vol. 39 ›› Issue (3): 266-270.

上颌窦黏膜穿孔的分类、处理方法及研究进展

李嘉良¹,吴煜农²

1. 南京医科大学附属口腔医院
2. 南京医科大学口腔医学院

收稿日期:2018-06-14 修回日期:2018-08-02 出版日期:2019-03-28 发布日期:2019-03-22
通讯作者: 吴煜农 E-mail:yunongwu@aliyun.com
基金资助:
国家自然科学基金;江苏高等教育优先发展的学术计划;国家自然科学基金;江苏省医药创新团队;江苏省医学青年人才;江苏省自然科学基金

The classification, treatment method, and research progress of maxillary sinus membrane perforations

Jia-Liang LI¹,

Received:2018-06-14 Revised:2018-08-02 Online:2019-03-28 Published:2019-03-22
Supported by:
the National Natural Science Foundation of China;the Priority Academic Program Development of Jiangsu Higher Education Institutions;the National Natural Science Foundation of China;the Jiangsu Provincial Medical Innovation Team; the Jiangsu Provincial Medical Youth Talent;the Natural Science Foundation of Jiangsu Province of China

摘要/Abstract

摘要： 上颌窦黏膜穿孔是上颌窦窦底粘膜提升术中最为常见的并发症。根据穿孔的部位或直径，可以将其通过经典分类、简化分类以及直径分类法等方法分为不同的穿孔类别，每一种穿孔类别又分别对应有不同的修补和处理方法，其中包括经典修补法、带蒂颊脂垫修补法、大直径穿孔修补法、内镜下修补法等。上颌窦黏膜穿孔经妥善处理后，其对该位点处种植体存活率影响小。术中黏膜穿孔的上颌窦与正常的上颌窦相比，二者种植体远期存活率基本相当。

关键词: 上颌窦提升术, 膜穿孔, 穿孔分类, 黏膜穿孔处理

Abstract: Maxillary sinus membrane perforation is the most common complication in the operation of sinus augmentation. Perforations can be classified into various categories by using different classification methods according to the location and the diameter of perforation, such as the classical sorting method, the simplified classification and the diameter classification. Each perforation classification also has its corresponding repair and treatment methods, including the classical approach, the buccal fat pad approach, the diameter perforation approach, the endoscopic approach and so on. If treated properly, the maxillary sinus membrane perforation would hardly have an impact on the survival rates of the implants inserted in these sites. Long-term success rates of the implants with perforated sinus membrane are comparable to those with intact sinus membrane.

Key words: maxillary sinus augmentation, sinus membrane perforation, perforation classification, membrane perforation handling

中图分类号:

R782.13

李嘉良吴煜农. 上颌窦黏膜穿孔的分类、处理方法及研究进展[J]. , 2019, 39(3): 266-270.

Jia-Liang LI. The classification, treatment method, and research progress of maxillary sinus membrane perforations[J]. , 2019, 39(3): 266-270.

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