组织工程与重建外科杂志2018，Vol.14Issue(3)：127-131,5.DOI:10.3969/j.issn.1673-0364.2018.03.003
基于数字医学的下颌骨重建系统:模块化手术方案和标准化评估
Mandibular Reconstruction Based on Digital Medicine:Modularized Protocol and Standardization Evaluation
摘要
Abstract
Objective To introduce a modified protocol of mandibular reconstruction with bone grafts,including modularized protocol and standardization evaluation.Methods From 2013 to 2017,a total of 9 reconstructed mandibles was studied.This program was performed with the following three modifications:computer-assisted surgical simulation(CASS),surgical template(ST)and operation.Standardization evaluation included part comparison analysis(PCA)and mechanical quantitative sensory testing.Results The affected mandible was successfully removed and the inferior alveolar neurovascular bundle(IANB)was conserved.The mean accuracy of PCA was 0.92 mm and the standard deviation was 0.96 mm.Mechanical quantitative sensory testing showed no significant difference of the mental and lower lip sensory function between the affected side and normal side(P=0.12).Conclusion The modified mandible reconstruction program can well repair different types of mandibular defects and retain the mental and lower lip sensory function.关键词
计算机辅助手术模拟/手术导板/局部对比分析/下牙槽神经血管束Key words
Computer-assisted surgical simulation/Surgical template/Part comparison analysis/Inferior alveolar neurovascular bundle分类
医药卫生引用本文复制引用
周知航,赵昊明,陈旭卓,张善勇,郑吉驷,杨驰..基于数字医学的下颌骨重建系统:模块化手术方案和标准化评估[J].组织工程与重建外科杂志,2018,14(3):127-131,5.基金项目
国家自然科学基金项目(81671010) （81671010）
上海交通大学医学院附属第九人民医院临床研究助推计划(JYLJ037) （JYLJ037）
上海交通大学"医工交叉基金"面上项目(YG2017MS04) （YG2017MS04）
上海交通大学"医工交叉基金"青年项目(YG2017QN08). （YG2017QN08）
