区域麻醉的更新数字方法:通过大巴拉丁运河对计算机引导的部神经阻断进行试点研究
Ioannis Fotopoulos1, Anastasia Fardi1, Vasileios Zisis2,3
1Department of Dentoalveolar Surgery, Surgical Implantology and Radiology, School of Dentistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Dentistry journal
|November 26, 2025
概括
使用大 palatine通道 (GPC) 进行计算机引导的部神经阻塞显示区域麻醉的高精度. 这种技术有效用于后牙麻醉,为复杂的牙科手术提供了潜力.
科学领域:
- 牙科 牙科是指牙科的专业.
- 麻醉学 麻醉学
- 医疗成像医学成像
背景情况:
- 通过大 palatine通道 (GPC) 的部神经阻塞由于解剖学挑战而未得到充分利用.
- 计算机引导的技术提供了提高准确性和可行性的潜力.
研究的目的:
- 评估GPC大神经阻塞的计算机引导方法的临床可行性,准确性和麻醉效果.
- 为了利用基于形光束计算机断层扫描 (CBCT) 的手术指南,以获得状叶腔.
主要方法:
- 在31名患者中,使用了基于CBCT和口腔内扫描设计的特定患者指南.
- 一个27G针被引导提供局部麻醉剂.
- 通过电脉测试 (EPT) 和压力算法评估麻醉疗效.
主要成果:
- 在96.7%的患者中,成功安置针,平均1.45次尝试.
- 100%成功地进行了口腔软组织麻醉.
- 脉麻醉在后牙 (96.7%,前牙93.3%) 的成功率很高,在中央切口的成功率更低 (50%).
结论:
- 计算机引导的GPC阻断是一种可行的上神经麻醉方法.
- 该技术在后大上表现出一致的有效性.
- 在需要区域麻醉的复杂牙科和外科手术中具有潜在的实用性.
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