犬上颌窦内提升植骨与不植骨的成骨效果比较

doi:10.19438/j.cjoms.2018.04.005

中国口腔颌面外科杂志 ›› 2018, Vol. 16 ›› Issue (4): 317-321.doi: 10.19438/j.cjoms.2018.04.005

犬上颌窦内提升植骨与不植骨的成骨效果比较

张耀升^1,2,*, 周知航^1,*, 王烨欣¹, 张善勇¹, 郑吉驷¹, 杨驰¹, 汪湧^1#, 朱应超¹, 黄慧^3#, 张永亚^3#

1.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,国家口腔疾病临床研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011;;
2.潍坊医学院口腔医学院,山东潍坊 261053;
3.上海交通大学医学院附属第九人民医院放射科,上海 200011

收稿日期:2017-09-18 修回日期:2018-05-31 出版日期:2018-07-20 发布日期:2018-08-09
通讯作者: 张永亚,E-mail:13585616553@139.com;黄慧,E-mail:305258979@qq.com;汪湧,E-mail:wangyong1405@126.com。^#共同通信作者
作者简介:张耀升（1993-）,女,在读硕士研究生,E-mail:839412743@qq.com;周知航（1994-）,男,在读硕士研究生,E-mail:1013220840@qq.com。
基金资助:
浦东新区卫计委联合攻关项目（PW2016D-1）; 上海市科委西医引导类项目（134119a5400 ）; 上海交通大学医学院大学生科创项目（20160508）; 上海市卫计委面上项目（M20170232）; 上海市科学技术委员会生物医药支撑项目（18441900100）

Osteogenesis effect of maxillary sinus floor lift in Beagle dogs

ZHANG Yao-sheng^1,2, ZHOU Zhi-hang¹, WANG Ye-xin¹, ZHANG Shan-yong¹, ZHENG Ji-si¹, YANG Chi¹, WANG Yong¹, ZHU Ying-chao¹, HUANG Hui³, ZHANG Yong-ya³

1.Department of Oral Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology. Shanghai 200011;
2.Weifang Medical University, College of Stomatology. Weifang 261053, Shandong Province;
3.Department of Radiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China

Received:2017-09-18 Revised:2018-05-31 Online:2018-07-20 Published:2018-08-09

摘要/Abstract

摘要： 目的:比较内镜下犬上颌窦内提升植骨与不植骨的成骨效果。方法:随机将6只比格犬（共12侧上颌窦）分为2组, A组为上颌窦内提升+即刻种植（3.5 mm×8 mm）,B组为上颌窦内提升+Bio-Oss（0.8 mL）+即刻种植（3.5 mm×8 mm）。利用CT、Micro-CT以及组织学评价2组术后上颌窦内和种植体周围成骨情况。采用SAS 9.0软件包对数据进行统计学分析。结果:术后切口愈合良好,无感染等并发症发生。A组术后即刻、3个月的CT数据重建上颌窦内成骨体积和密度显著低于B组。Micro-CT和组织学切片均证实,A组的成骨仅在种植体周围的下部,而中部和上部未见明显骨质;而B组的种植体周围均包绕着适量骨质。2组中上部和中部新骨面积存在显著差异（P<0.05）;下部新骨面积无显著差异（P>0.05）。结论:上颌窦内提升不植骨时仅在窦底有一定量的新骨形成,为了达到良好的术后和远期效果,建议在行内提升术时适当植入骨粉。

关键词: 上颌窦内提升, 植骨, 成骨

Abstract: PURPOSE:To evaluate the osteogenesis effect of maxillary sinus floor lift in Beagle dogs with bone grafting and without bone grafting. METHODS: Twelve operations (bilateral and randomly chosen) were done in 6 Beagle dogs in group A and group B (implanted Bio-Oss 0.8 mL), in which the operation was performed using maxillary sinus floor lift and immediate implant(3.5 mm×8 mm) placement. Postoperative CT scans, Micro-CT and histological analysis for all animals were conducted to evaluate the osteogenesis in the maxillary sinus floor and around the implants. SAS 9.0 software package was used for statistical analysis. RESULTS: The animals' incision healed well and without any complication such as infection. The osteogenic volume and bone density in group A was significantly lower than in group B on postoperative CT and 3 months after surgery's data. Micro-CT and histological analysis demonstrated that the osteogenesis in group A only surrounded the lower part of the implants, but surrounded all of the implants in group B. There was significant difference in new bone volume of the top and middle part of the implants between group A and B, but there was no significant difference in the lower part of the implants. CONCLUSIONS: There is certain amount of new bone formation at the lower part of the implants after maxillary sinus floor lift without bone implanting. To achieve better postoperative and long-term results, it is recommended to implant appropriate bone materials during maxillary sinus floor lift.

Key words: Sinus lift, Bone implant, Osteogenesis

中图分类号:

R782.1

张耀升, 周知航, 王烨欣, 张善勇, 郑吉驷, 杨驰, 汪湧, 朱应超, 黄慧, 张永亚. 犬上颌窦内提升植骨与不植骨的成骨效果比较[J]. 中国口腔颌面外科杂志, 2018, 16(4): 317-321.

ZHANG Yao-sheng, ZHOU Zhi-hang, WANG Ye-xin, ZHANG Shan-yong, ZHENG Ji-si, YANG Chi, WANG Yong, ZHU Ying-chao, HUANG Hui, ZHANG Yong-ya. Osteogenesis effect of maxillary sinus floor lift in Beagle dogs[J]. China J Oral Maxillofac Surg, 2018, 16(4): 317-321.

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犬上颌窦内提升植骨与不植骨的成骨效果比较

Osteogenesis effect of maxillary sinus floor lift in Beagle dogs

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