内镜下上颌窦内提升术的实验研究

中国口腔颌面外科杂志 ›› 2015, Vol. 13 ›› Issue (2): 124-128.

内镜下上颌窦内提升术的实验研究

郑吉驷^*, 邱瀚宣^*, 张善勇, 杨驰, 张瑛

上海交通大学医学院附属第九人民医院·口腔医学院口腔外科,上海市口腔医学重点实验室,上海 200011

收稿日期:2014-10-16 修回日期:2014-12-01 出版日期:2015-03-20 发布日期:2015-04-23
通讯作者: 张善勇,E-mail:zhangshanyong@126.com;杨驰,E-mail:yangchi63@hotmail.com。^#共同通信作者
作者简介:郑吉驷（1988-）,男,在读硕士研究生,E-mail:zhengjisi88@gmail.com;邱瀚宣（1991-）,男,在读硕士研究生,E-mail:kevinchiu01@hotmail.com。*并列第一作者

Endoscopic lift of the maxillary sinus floor in Beagle dogs

ZHENG Ji-si, CHIU Han-hsuan, ZHANG Shan-yong, YANG Chi, ZHANG Ying

Department of Oral Surgery, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China

Received:2014-10-16 Revised:2014-12-01 Online:2015-03-20 Published:2015-04-23

摘要/Abstract

摘要： 目的: 介绍一种应用于Beagle犬的内镜辅助下上颌窦内提升术。方法: 随机挑选6只犬,分为实验组和对照组,实验组行改良内镜上颌窦内提升术,对照组则为冲击式内提升术。全部手术由2个安全指标（上颌窦黏膜穿孔、鼻出血）和3个效果指标（术中提升高度、移植骨体积、上颌窦内移植骨的前后位置）进行评价,利用SAS 9.0 软件包对实验数据进行Wilcoxon符号秩和检验。结果: 实验组及对照组均未出现上颌窦黏膜穿孔和鼻出血。实验组术中提升高度为(13.7±0.8) mm,对照组为(9.1±0.5) mm,2组差异显著（P=0.0001）。实验组移植骨量为(0.9±0.04) mL,对照组为(0.5±0.02) mL,2组差异显著（P=0.0001）。实验组前部移植骨体积较后部骨体积无显著差异（P=0.103）,而对照组两者存在显著差异（P=0.002）。结论: 在内镜辅助下直视完成犬上颌窦内提升术,是一种安全、有效、快捷的方法。

关键词: 上颌窦提升, 内镜手术, Beagle犬

Abstract: PURPOSE: To introduce a modified endoscopic lift of the floor of the maxillary sinus in Beagle dogs. METHODS: Twelve operations (bilateral and randomly chosen) were done in 6 Beagle dogs in the experimental group (modified endoscopic operation) and the control group, in which the operation was done with an osteotome. All operations were evaluated by 2 indices of safety (perforation of the sinus membrane and nasal bleeding) and 3 effective indices (intraoperative height after lifting, volume of bone grafts, and dislocation of the sinus grafts). Wilcoxon sign rank test was conducted using SAS 9.0 software package. RESULTS: The intraoperative height after lifting was (13.7±0.8) mm in the experimental group and (9.1±0.5) mm in the control group, significant difference existed between the 2 groups (P=0.0001). Similarly, the volume of bone graft was (0.9±0.04) mL in the experimental group and (0.5±0.02) mL in the control group (P=0.0001). The volume of the anterior and posterior bone grafts in the implant cavity in the experimental group had no significant difference (P=0.102), while there was significant difference in the control group (P=0.002). CONCLUSIONS: Endoscopic lifting of the floor of the maxillary sinus is a safe and effective approach based on direct observation in Beagle dogs.

Key words: Sinus lift, Endoscopic Surgery, Beagle dog

中图分类号:

R782.05

郑吉驷, 邱瀚宣, 张善勇, 杨驰, 张瑛. 内镜下上颌窦内提升术的实验研究[J]. 中国口腔颌面外科杂志, 2015, 13(2): 124-128.

ZHENG Ji-si, CHIU Han-hsuan, ZHANG Shan-yong, YANG Chi, ZHANG Ying. Endoscopic lift of the maxillary sinus floor in Beagle dogs[J]. China J Oral Maxillofac Surg, 2015, 13(2): 124-128.

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