Meta分析评价手术辅助上颌快速扩弓矫治成人上颌横向发育不足的稳定性

发布时间：2018-04-04 08:27

本文选题：上颌面部发育　切入点：循证医学　出处：《中国组织工程研究》2017年32期

【摘要】：背景:手术辅助上颌骨快速扩弓对矫治成人上颌骨横向发育不足具有较好的疗效,但其术后长期疗效及稳定性存在争议。目的:利用Meta分析评价手术辅助上颌快速扩弓矫治成人上颌横向发育不足的稳定性。方法:计算机检索Pub Med、Medline、EMBASE、Central Register of Controlled Trials、CNKI、万方等中外文数据库中符合要求的随机、半随机对照试验,临床病例研究的文献,检索日期截止至2015-05-31。由2名研究者对纳入文献进行严格的质量评价,提取中、高等质量文献的数据资料。采用Rev Man 5.3软件进行Meta分析。结果与结论:(1)最终纳入13篇文献,共413例患者;(2)牙稳定性的Meta分析结果:第一磨牙(WMD=-1.03,95%CI:-2.00至-0.06)、尖牙(WMD=-1.26,95%CI:-2.02至-0.49),术后与随访期间差异有显著性意义,第一磨牙及尖牙间距离仅少量复发,对临床结果无显著影响;(3)骨稳定性的Meta分析结果:第一磨牙区域牙槽骨(WMD=-0.43,95%CI:-1.82-0.97),术后与随访期间差异无显著性意义,保持了长期的稳定性;(4)鼻气道稳定性的Meta分析结果:短期内鼻气道改善得到肯定,长期的稳定性有待进一步论证;(5)结果提示,成人上颌横向发育不足患者经手术辅助上颌快速扩弓治疗后,牙齿、牙槽骨基本保持了长期的稳定性,短期鼻气道改善明显。
[Abstract]:Background: surgically assisted rapid maxillary expansion has better curative effect on the treatment of adult maxillary transverse deficiency, but the postoperative long-term efficacy and stability of controversy. Objective: to analyze the stability of surgically assisted rapid maxillary expansion for adult maxillary transverse deficiency by Meta. Methods: We searched the Pub Med, Medline, EMBASE Central Register, of Controlled Trials, CNKI, Wanfang in foreign language database to meet the requirements of the randomized, randomized controlled trial, clinical research literature, the deadline to 2015-05-31. by 2 researchers of literature quality evaluation, strict retrieval, the higher the quality of literature data by Rev Man. 5.3 software for Meta analysis. Results and conclusion: (1) a total of 13 articles, a total of 413 patients (2 teeth); stability analysis results of Meta: first molar (WMD=-1.03,95%CI: -2.00 to -0.06), canine (WMD=-1.26,95%CI:-2.02 to -0.49), there were significant differences in postoperative period and follow-up, only a small distance between the first molar and canine recurrence, no significant impact on clinical outcome; (3) bone stability Meta analysis results: first molar alveolar bone area (WMD=-0.43,95%CI:-1.82-0.97), no significant difference the difference during the postoperative and follow-up, maintain long-term stability; (4) nasal airway stability analysis results of Meta: in the short term to improve the nasal airway is affirmed, long-term stability should be further demonstrated; (5) the results suggest that adult maxillary transverse deficiency patients treated surgically assisted rapid maxillary expansion, teeth, alveolar the bone remained the long-term stability and short-term nasal airway was improved significantly.

【作者单位】：西南医科大学附属口腔医院正畸科;
【分类号】：R782

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