在大和下的骨联合自由重建:系统性审查和元分析
Khanh Linh Tran1, Zora Heer1, Harkaran Singh Dial1
1Division of Otolaryngology, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Head & neck
|February 11, 2026
概括
骨性非结合是头部和部重建的并发症. 虚拟手术规划可能会改善骨愈合,并减少非工会的修复手术.
科学领域:
- 口腔和牙面部外科手术
- 重建性手术是一种重建性手术.
背景情况:
- 骨非结合是头部和部重建的一个重要并发症.
- 目前关于其定义,发病率和治疗的报告有限.
研究的目的:
- 通过血管化的自由板来审查头部和部重建中骨结合的文献.
- 确定影响骨结合的因素和治疗非结合的方法.
主要方法:
- 在 MEDLINE,Embase,CENTRAL 和 Web of Science (1990-2025) 的系统文献搜索.
- 包括报告骨结合用于大或下重建与血管化的自由板的研究.
主要成果:
- 从5985个摘要中,包括了52项研究.
- 关于骨性非结合的定义是不一致的.
- 在部重建,半径片和虚拟手术规划中,观察到更高的结合率.
结论:
- 虚拟手术规划显示了改善骨结合和降低修复率的前景.
- 由于研究异质性,需要进行进一步的随机对照试验,以分析非工会风险因素和结果.
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