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比较单阶段与两阶段的分离程序:系统性审查和元分析

Zainab Khanum¹, E S Shobha², Neha Nainoor²

¹Jumana Medical Center, Doha, Qatar.

Journal of maxillofacial and oral surgery

|November 27, 2025

概括

这一元分析发现,单阶段的脊脊分裂手术在成年人中优于双阶段的脊脊分裂手术. 一个阶段的方法在比较分析中显示出更好的结果,突出其有效性.

科学领域:

口腔和牙面部外科手术
牙周病学牙周病学
牙科植入物学牙科植入物学

背景情况:

膜脊缩对牙植入物安置来说是一个挑战.
脊柱分裂技术增加了植入物康复的骨宽度.
对比一阶段和两阶段的脊柱分裂程序对于优化治疗结果至关重要.

研究的目的:

系统地审查和比较一阶段与两阶段脊分裂程序的疗效.
对现有的科学文献进行元分析,以了解脊分裂技术.
评估这些程序在成年患者的结果.

主要方法:

按照PRISMA指南进行系统审查.
在PubMed,谷歌学者和EBSCO主机的文献搜索 (2000年1月至2021年12月).
使用标准化平均差异 (SMD) 和随机效应模型进行元分析;通过纽卡斯尔-太华尺度和JBI关键检查清单进行质量评估.

主要成果:

包括11项研究,其中3项适合进行元分析.
在包括的研究中,发现了偏差的中度至高风险.
分析赞成一个阶段的脊被0.89 SMD分裂,尽管异质性和出版偏差是令人担忧的.

结论:

基于这一比较元分析,一阶段的脊分裂程序显示出优于两阶段程序的优势.
可能需要进一步的高质量研究来缓解偏见和异质性.
这些发现表明,膜脊增大是一种首选的方法.

关键词:

骨增强骨增强是一种骨增强.牙植入物是如何使用的进行元分析分析.一个分阶段的山脊分裂了.分裂性骨切除术是分裂性骨切除术.两个阶段的山脊分裂.

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