从患者的角度来看,自主和异性骨头移植用于膜脊增大 - 一个基于问卷调查的队列研究之间的患病率相关参数的比较
Diana Heimes1, Andreas Pabst1,2, Philipp Becker1,2
1Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Mainz, Germany.
Clinical implant dentistry and related research
|July 12, 2023
概括
使用自主骨块的气膜脊增大与异性骨块相比,导致明显更多的胀和神经刺激,尽管患者对牙科植入物的两种方法都感到满意.
科学领域:
- 口腔和牙面部外科手术
- 牙科植入物学 牙科植入物学
- 再生医学是一种再生医学.
背景情况:
- 膜脊增大对于牙植入成功至关重要.
- 自生骨移植是黄金标准,但有疼痛和神经刺激等缺点.
- 这项研究比较了自主和异性骨块之间的患者报告的发病率.
研究的目的:
- 为了前性地比较患者感知到的患病率,使用自生与异性骨块的膜脊增大后.
- 为了评估疼痛,压力,神经刺激,胀和整体满意度.
- 为了告知有关移植选择的共享决策.
主要方法:
- 一项前性研究,涉及36名接受膜脊增大手术的患者.
- 患者填写了评估手术和术后经历的问卷.
- 评估的参数包括疼痛,压力,神经刺激,胀和满意度.
主要成果:
- 两组之间手术后压力或疼痛没有显著差异.
- 自主骨块的胀显著增加 (p=0.001),神经刺激的比率增加了两倍.
- 对于两种移植类型的整体患者满意度都很高 (>8/10).
结论:
- 胀是患者不适的主要来源,自主骨移植的患者明显高.
- 尽管发病率较高,但患者满意度仍然很高.
- 在手术前讨论胀和发病率对于获得患者知情同意至关重要.
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