在前下骨切除中,单板骨质合成和双板骨质合成之间的骨稳定性的比较:一个随机的病例对照试验
Raparthy B Chandra1, Sneha Pendem2, Kathiravan Selvarasu1
1Department of Oral and Maxillofacial Surgery, Saveetha Dental College, SIMATatS, Chennai, India.
单板固定提供可比的骨稳定性,以双板固定在前下骨切除术. 然而,单板固定显示在缩短手术内时间和减少神经传感障碍的优势,用于直立方位手术.
科学领域:
- 口腔和牙面部外科手术
- 整形手术 整形手术 整形手术
- 骨的重建 骨的重建
背景情况:
- 在前下骨切除术后评估骨稳定性对于成功的正手术至关重要.
- 比较固定方法,如单板与双板骨质合成,对于优化手术结果至关重要.
研究的目的:
- 在前下骨切除中,比较单板和双板骨质合成之间的骨稳定性.
- 评估二次结果,如手术内时间和神经感官障碍.
主要方法:
- 一个前性病例控制试验,随机分配患者进行单板 (I组) 或双板 (II组) 固定.
- 包括前部下骨切除术和骨修复术,并进行头脑测量分析 (COGS) 来评估骨稳定性.
- 作为次要结局,测量了手术期间的时间和术后的神经传感障碍.
主要成果:
- 在单板和双板组之间没有发现骨稳定性的统计学上显著差异.
- 在二次结果中观察到显著差异 (P<0.05),由于手术内时间缩短和神经传感障碍较少,有利于单片固定.
结论:
- 单板和双板骨质合成在前下骨切割中表现出类似的骨稳定性.
- 由于 ортогнатик手术方法的二次结果改善,单板固定可能是首选的.
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