数字化正颌外科流程及临床效果回顾性分析

发布时间：2018-01-12 05:19

本文关键词：数字化正颌外科流程及临床效果回顾性分析　出处：《上海交通大学学报(医学版)》2016年09期 　论文类型：期刊论文

【摘要】：目的·建立规范的数字化正颌外科流程并评价其效果。方法·选择2014—2015年接受数字化正颌外科治疗的788例牙颌面畸形患者作为研究对象,按照"临床资料收集、数据处理、计算机辅助手术规划与模拟、三维打印与合板处理、正颌外科手术实施、手术效果反馈与资料回收、多方核查与记录"的流程实施治疗并评价其效果。结果·所有788例患者获得了良好的手术效果,患者术前、术中和术后随访资料以及手术医生的评价和反馈信息得到了完整保存。未发生板丢失、混淆等重大失误。医生、管理护士和设计人员在整个流程中能流畅配合,对流程安排满意。在流程中出现的设计医生忘记调试板、板未及时消毒等情况,均在多方核查时及时发现和处理。结论·规范化的数字化正颌外科流程应包括临床资料收集、数据处理、计算机辅助手术规划与模拟、三维打印与板处理、正颌外科手术实施、手术效果反馈与资料回收、多方核查与记录等步骤,其可有效减少失误,确保数字化板的精度,提高患者的就诊体验、工作效率和治疗效果,推动正颌外科的发展和普及。
[Abstract]:Objective: to establish a standard digital orthognathic surgery procedure and evaluate its effect. Methods: 788 patients with maxillofacial malformation received digital orthognathic surgery in 2014-2015 were selected as the study objects. According to the "clinical data collection, data processing, computer-aided surgery planning and simulation, three-dimensional printing and plate processing, orthognathic surgery, surgical results feedback and data recovery." Results: all 788 patients received good surgical results before operation. The follow-up data during and after the operation and the evaluation and feedback from the surgeon were completely preserved. There were no major mistakes such as board loss, confusion and so on. Doctors, management nurses and designers were able to cooperate smoothly throughout the process. Satisfied with the process arrangement. The designer forgot to debug the board and the board was not disinfected in time. Conclusion: the standardized procedure of orthognathic surgery should include clinical data collection, data processing, computer aided operation planning and simulation, 3D printing and plate processing. The implementation of orthognathic surgery, surgical effect feedback and data recovery, multi-party verification and recording can effectively reduce errors, ensure the accuracy of the digital plate, and improve the patient's experience. Working efficiency and therapeutic effect promote the development and popularization of orthognathic surgery.
【作者单位】：上海交通大学医学院附属第九人民医院口腔颅颌面科上海市口腔医学研究所;
【基金】：上海市教育委员会高峰高原学科建设计划(20152225) 上海交通大学医学院本科教学改革项目;上海交通大学医学院医学教育研究项目(YB150619)~~
【分类号】：R782
【正文快照】： 数字化正颌外科是结合医学影像、数学、计算机信息学、电子学、机械工程及医学等多学科的新兴交叉技术[1]。基于计算机辅助技术进行正颌手术规划,可模拟手术操作,预测手术效果,增强医患沟通效果,提高手术精度,为建立和谐的医患关系提供基础[1-6]。近年来,数字化正颌外科在各大

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