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在整形外科手术中术内导航:缓解阳性并发症

Bilal F Hamzeh¹, Anna D Lee², Brooke French¹

¹Department of Pediatric Plastic and Reconstructive Surgery, Children's Hospital Colorado, Aurora, CO.

The Journal of craniofacial surgery

|October 21, 2025

概括

在整形外科手术中,手术内导航可以提高骨定位的准确性. 虽然它主要用于精度,但它在预防神经损伤等严重并发症方面的潜力需要进一步研究.

科学领域:

口腔和牙面部外科手术
手术导航技术手术导航技术

背景情况:

整形外科手术涉及至关重要的神经血管和呼吸道结构附近复杂的骨操纵.
阳性创伤虽然很罕见,但会导致严重的后果,如中风,失明和死亡.
现有的技术专注于定位精度,而不是提高患者安全.

研究的目的:

审查整形外科手术中手术内导航的采用和结果.
评估手术内导航在减少中毒性并发症方面的潜力.

主要方法:

在主要数据库 (PubMed,Embase,Web of Science,Cochrane Library) 中按照PRISMA指南进行系统的文献搜索.
收录了30项原始研究,报告了整形外科手术中的手术内导航.
提取有关指示,程序,技术,使用目的和结果的数据.

主要成果:

大多数研究 (96.7%) 使用导航来确定骨位置的准确性;很少有 (6.7%) 报告其用于避免关键结构.
最常见的导航系统是BrainLab,Stryker和Aurora/北方数字公司.
来自其他专业的证据证实了导航在减少受伤,失血和手术时间方面的有效性.

结论:

术内导航是 ортогнатик手术的高度准确的工具.
它在减轻严重的阳性并发症方面的潜力在当前的文献中未得到充分探索.
需要进一步的高层次研究,以专注于使用导航的整形外科手术中的并发症预防.

关键词:

计算机辅助手术是计算机辅助的手术.在手术期间出现的并发症.整形手术是指整形手术.医疗导航系统医疗导航系统

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