在临床环境中评估计算机引导静态植入体手术尺寸准确性的方法:一个范围审查
Sorana Nicoleta Rosu1, Monica Silvia Tatarciuc2, Anca Mihaela Vitalariu2
1Department of Oral and Maxillofacial Surgery, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania.
Dentistry journal
|January 27, 2026
概括
评估计算机引导静态植入体手术 (CGSIS) 准确性的方法异质性限制了临床决策. 标准化测量方法对于可靠的牙科植入物研究至关重要.
科学领域:
- 牙科 牙科是指牙科的专业.
- 手术技术 手术技术
- 医疗成像医学成像
背景情况:
- 计算机引导的静态植入体手术 (CGSIS) 提高了牙植入物放置的精度.
- 报告准确度的变化阻碍了基于证据的临床决策.
- 缺乏标准化的评估方法是一个关键问题.
研究的目的:
- 系统地绘制,合成和分析用于量化CGSIS维度准确性的临床方法.
- 识别和评估用于评估植入物外科手术精度的各种方法.
主要方法:
- 根据PRISMA-ScR指南进行范围审查.
- 在PubMed/MEDLINE,Scopus和Embase的系统搜索,直到2025年10月.
- 包括临床研究比较计划与实现的人类植入物位置.
主要成果:
- 在包括的21项研究中观察到广泛的方法异质性.
- 主要的参考系统:手术后的CBCT (n=12) 和用扫描体进行口内扫描 (n=6).
- 由于各种软件,算法和统计总结,对准确度指标 (例如,全球冠状/圆角偏差,角偏差) 的报告不一致.
结论:
- 非标准化的测量方法显著限制了CGSIS准确性证据的可比性和综合性.
- 报告的偏差范围反映了方法的异质性,而不是系统性能差异.
- 在CGSIS临床研究中,迫切需要基于共识的最低报告标准.
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