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Updated: Jul 1, 2025

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术后放射成像在二次膜骨移植的裂口唇和 palates:一个系统的审查和元分析

Connor K Groff¹, Chioma G Obinero, Alfredo Cepeda

¹Division of Plastic and Reconstructive Surgery, McGovern Medical School, University of Texas Health Science Center, Houston, TX.

The Journal of craniofacial surgery

|March 8, 2024

概括

计算机断层扫描 (CT) 提供优越的图像保真性,用于评估二级膜骨移植 (SABG) 在唇裂和 palatal (CLP) 患者,但涉及比X-ray (XR) 和束CT (CBCT) 的更高的辐射暴露. 需要进一步的研究来直接比较CT和CBCT.

科学领域:

口腔和牙面部外科手术
放射学放射学是一门学科.
头骨面部异常头骨面部异常

背景情况:

对于口唇裂 (CLP) 患者来说,二次膜骨移植 (SABG) 非常重要.
放射 (XR),计算机断层扫描 (CT) 和圆光束CT (CBCT) 用于SABG评估.
在CLP中SABG的最佳成像模式仍未确定.

研究的目的:

为了比较XR,CT和CBCT在CLP患者的SABG评估中的图像保真度和安全性概况.
为了评估移植成功率,移植体积的维护,以及在成像方式中对辐射的暴露.

主要方法:

在 MEDLINE 和 Elsevier Embase 的系统文献搜索.
对移植成功率,维持移植的体积百分比和辐射剂量的元分析.
奇平方分析用于比较成像模式之间的聚合结果.

主要成果:

CT显示出显著更高的图像保真度,与XR (72.6%) 和CBCT (69.8%) 相比,移植成功率较低 (62.0%).
CBCT显示了最低的移植体积维护 (32.1%).
CT的平均辐射剂量比XR和CBCT高 (39.7mGy).

结论:

CT的较低的移植成功率表明,在CLP中SABG评估的图像保真性优越.
CT可能涉及比CBCT更高的辐射暴露.
需要进一步的随机和纵向研究来直接CT与CBCT进行比较和临床结果的相关性.

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