口腔外科的动态计算机辅助手术:一个系统的审查
Ariadna Requena-Gatell1, Tania Moya-Martínez1, Alba Sánchez-Torres1,2
1Department of Dentistry, School of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain.
Journal of clinical medicine
|January 28, 2026
概括
动态计算机辅助手术 (dCAS) 在改善内牙科手术的准确性和减少复杂牙提取手术时间方面表现有前途. 复杂性率似乎与传统的自由手技巧相当,尽管需要更多的研究.
科学领域:
- 在口腔外科手术.
- 医疗技术 医疗技术 医学技术
- 手术导航 手术导航
背景情况:
- 动态计算机辅助手术 (dCAS) 使用基于3D图像的跟踪进行实时调整.
- 目前dCAS在口腔外科手术中的应用范围仅限于植入物学.
- 本综述评估了dCAS在口腔外科手术中,不包括植入物安置.
研究的目的:
- 评估dCAS在口腔手术中的优点,局限性和并发症.
- 将dCAS与传统的自由手 (FH) 技术进行比较.
- 评估dCAS在植入程序之外的临床影响.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在PubMed,Scopus和Cochrane图书馆进行文献搜索.
- 使用RoB 2和ROBINS-I工具进行偏差风险评估.
主要成果:
- 包括十项关于dCAS在复杂的牙提取和内牙外科手术中的研究.
- 在内牙科手术中发现了显著的精度改善.
- 观察到与FH技术相比较的术后并发症率.
结论:
- dCAS可以提高内牙外科手术的准确性和效率.
- dCAS可能会减少复杂的下三提取的手术时间.
- 有限,异质的证据需要进一步的临床验证.
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