手术前的关节空间是否会影响基于 splint 的 Le Fort I 骨折术的准确性?
M D Han1, A Tavasoli2, R Malaki3
1Department of Oral and Maxillofacial Surgery, University of Illinois Chicago College of Dentistry, Chicago, IL, USA.
International journal of oral and maxillofacial surgery
|January 31, 2026
概括
手术前的关节空间 (JS) 变化影响了基于 splint 的 Le Fort I 骨切除术 (LFI) 的准确性. 大上部和后部JS与特定的外科手术错误相关,突出显示在Le Fort I骨折术中需要进行手术前评估.
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
- 手术准确度 - 手术准确度是指手术的精确度.
背景情况:
- 基于骨的Le Fort I骨切除术 (LFI) 的准确性可能会受到骨-骨关系的影响.
- 了解手术前关节空间 (JS) 的影响对于优化手术结果至关重要.
研究的目的:
- 为了研究手术前关节空间 (JS) 对手术错误的影响,在支架为基础的部-第一个LFI.
- 量化JS测量和外科手术不准确之间的关系.
主要方法:
- 对接受支柱式大首次LFI的患者的回顾性分析.
- 在手术前通过形光束计算机断层扫描 (CBCT) 测量JS.
- 使用基于voxel的注册评估的手术运动 (线性和角度).
主要成果:
- 平均线性和角度误差分别为0.82-1.18毫米和0.87-1.21度.
- 上部JS与中侧误差相关 (P=0.020);后部JS与前后侧误差相关 (P=0.019).
- 回归模型确定了预测外科手术错误的特定JS值.
结论:
- 垂直和前后前手术JS显著影响部-第一 splint 基于LFI的准确性.
- 术前JS评估可以识别患有外科错误风险较高的患者.
- 建议对手术前的关节空间进行例行评估,以提高手术精度.
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