导板外科应用于下颌骨粉碎性骨折精准复位

›› 2019, Vol. 39 ›› Issue (8): 714-718.

导板外科应用于下颌骨粉碎性骨折精准复位

陆友正¹,王志勇²,席洪¹,达明杰²,李威²,王育新³

1. 东南大学附属中大医院溧水分院
2. 南京市口腔医院
3. 南京大学医学院附属口腔医院南京市口腔医院

收稿日期:2018-04-17 修回日期:2018-05-12 出版日期:2019-08-28 发布日期:2019-08-23
通讯作者: 王育新 E-mail:904489973@qq.com

The application of surgery guides to precise reduction of mandibular comminuted fractures

Received:2018-04-17 Revised:2018-05-12 Online:2019-08-28 Published:2019-08-23

摘要/Abstract

摘要： 目的　探讨应用数字化导板辅助重建钛板精准复位及固定下颌骨粉碎性骨折的方法及效果。方法：选取本院2016年1月～2017年12月收治10例下颌骨粉碎性骨折患者作为研究对象,所有患者术前应用数字化外科技术设计手术导板并行3D打印，术中手术导板辅助重建钛板精准复位及固定下颌骨粉碎性骨折,术后行图像融合及临床评价。结果：所用患者均一期愈合，图像融合显示与术前虚拟设计偏差度＜2mm，咬合关系恢复及骨折复位愈合情况良好,张口度未见异常。结论：数字化导板辅助下颌骨粉碎性骨折复位及固定，缩短了手术时间，能精准复位及固定下颌骨粉碎性骨折，临床应用效果确定。

关键词: 数字化导板, 3D打印, 下颌骨粉碎性骨折, 精准

Abstract: Objective　To discuss the methods and efficacy of digital guide to assist accurate reduction and fixation of mandibular comminuted fracture. Methods 10 patients of mandibular comminuted fracture from January 2016 to December 2017 were involved. Preoperative design was made by digital technology and surgery guides were manufactured using 3D printer. By means of surgery guides, mandibular comminuted fractures were fixed with reconstruction titanium plate in surgery. Image fusion and clinical evaluation were conducted to investigate treatment after surgery. Results Primary healing was obtained in all patients. Image fusion showed a less-than-2mm deviation. Occlusion relation recovery and reduction of fracture were in good condition, and nothing abnormal was detected in the mouth opening. Conclusion Surgery guide can shorten the operation time, precisely restore mandibular comminuted fractures and has definite clinical application efficacy.

Key words: surgery guides , 3D printing , mandiblular comminuted fracture, precision

中图分类号:

　R782.4

陆友正王志勇席洪达明杰李威王育新. 导板外科应用于下颌骨粉碎性骨折精准复位[J]. , 2019, 39(8): 714-718.

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