中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2022, Vol. 20 ›› Issue (2): 158-163.doi: 10.19438/j.cjoms.2022.02.010

• 论著 • 上一篇    下一篇

数字化技术在提高颅颌面畸形整复手术精度中的效果评价

林博1,2, 杨宏宇1,2, 杨辉俊1,2, 周陶1,2, 王峰1,2, 张添文1,2   

  1. 1.北京大学深圳医院口腔医学中心 口腔颌面外科,广东省高水平临床重点专科,广东 深圳 518036;
    2.广东省口腔疾病诊疗技术工程技术研究中心,广东 深圳 518036
  • 收稿日期:2021-09-23 修回日期:2022-01-06 出版日期:2022-03-20 发布日期:2022-03-20
  • 通讯作者: 杨宏宇,E-mail: hyyang192@hotmail.com
  • 作者简介:林博（1986-）,男,博士,主治医师,E-mail：amber001@163.com
  • 基金资助:
    深圳市卫生系统科研项目（SZLY2018022）

Application of digital surgery to improve the accuracy of surgical reconstruction of craniomaxillofacial deformities

LIN Bo1,2, YANG Hong-yu1,2, YANG Hui-jun1,2, ZHOU Tao1,2, WANG Feng1,2, ZHANG Tian-wen1,2   

  1. 1. Department of Oral and Maxillofacial Surgery, Stomatology Center, Peking University Shenzhen Hospital, High-level Clinical Key Specialties of Guangdong Province. Shenzhen 518036;
    2. Engineering and Technology Research Center of Guangdong Province for Oral Disease Diagnosis and Treatment. Shenzhen 518036, Guangdong Province, China
  • Received:2021-09-23 Revised:2022-01-06 Online:2022-03-20 Published:2022-03-20

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摘要： 目的:探讨数字化外科辅助颅颌面畸形手术相对于传统手术的优势并评价其远期效果。方法:本研究是一项前瞻性队列研究,纳入因肿瘤、感染、先天发育等原因需要进行颅颌面畸形整复的患者,进行数字化辅助手术或传统经验性手术。纳入研究后按计划随访,收集基线期、治疗期及术后随访期的手术相关资料、CT数据,使用Mimics软件色谱误差分析分别计算2组患者术后实际下颌骨与理想下颌骨之间的差异。采用SPSS 21.0软件包对数据进行统计学分析。结果:建立了72例颅颌面畸形队列,数字化外科组和对照组各36例。色谱误差分析显示,数字化组手术前、后偏差为（1.06±0.06）mm,对照组为（1.23±0.06）mm;多因素线性回归分析显示,数字化外科与较好的下颌骨修复精度显著相关（P<0.05）,2组并发症发生率相同,无严重不良事件发生。结论:数字化外科技术辅助颅颌面畸形整复手术较传统经验性手术精度显著提高,未增加手术并发症,安全、可靠,远期效果稳定。

关键词: 数字化手术, 颅颌面畸形, 队列研究

Abstract: PURPOSE: Craniomaxillofacial deformities caused by tumors and congenital development affect the function and appearance of patients. This study compared the advantages of digitally surgically assisted craniomaxillofacial deformity surgery versus conventional surgery and evaluated its long-term outcomes. METHODS: This was a prospective cohort study that included patients who required craniomaxillofacial deformity revision due to tumor, infection, congenital development, etc, via digitally assisted surgery or traditional empirical surgery. After inclusion in the study and follow-up as planned, surgery-related data and CT data were collected at baseline, intra-operative and postoperative follow-up periods, and the difference between the actual and ideal postoperative mandibles was calculated separately for the two groups using chromatographic error analysis with Mimics software. SPSS 21.0 software package was used to analyzed the data. RESULTS: A cohort of 72 cases of craniomaxillofacial deformities was established, with 36 cases in each group. Chromatographic error analysis showed a preoperative and postoperative deviation of (1.06±0.06) mm in the digital group and (1.23±0.06) mm in the control group, and multifactorial linear regression showed that digital surgery was significantly associated with better mandibular repair accuracy (P<0.05), and the complication rates were the same in both groups, with no serious adverse events. CONCLUSIONS: Digital surgical technique assisted craniomaxillofacial deformity revision surgery significantly improved accuracy compared to traditional empirical surgery without increasing surgical complications, and its safety is reliable with stable long-term results.

Key words: Digital surgery, Craniomaxillofacial deformities, Cohort study

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