3D显微镜在35例口腔颌面外科手术中的应用效果评价

doi:10.19438/j.cjoms.2022.06.013

中国口腔颌面外科杂志 ›› 2022, Vol. 20 ›› Issue (6): 590-593.doi: 10.19438/j.cjoms.2022.06.013

3D显微镜在35例口腔颌面外科手术中的应用效果评价

闫星泉, 南欣荣, 任晓彦, 赵佳雄, 孟兵

山西医科大学第一医院口腔颌面外科,山西太原 030001

收稿日期:2021-11-29 修回日期:2022-02-15 出版日期:2022-11-20 发布日期:2022-11-20
通讯作者: 南欣荣,E-mail: xr_nan@sina.com
作者简介:闫星泉（1987-）,男,硕士研究生,主治医师,E-mail:523237242@qq.com

Application of 3D microscope in oral and maxillofacial surgery for 35 cases

YAN Xing-quan, NAN Xin-rong, REN Xiao-yan, ZHAO Jia-xiong, MENG Bing

Department of Oral and Maxillofacial Surgery, the First Hospital of Shanxi Medical University. Taiyuan 030001, Shanxi Province, China

Received:2021-11-29 Revised:2022-02-15 Online:2022-11-20 Published:2022-11-20

摘要/Abstract

摘要： 目的探讨3D显微镜在口腔颌面外科的临床应用范围及优缺点。方法总结2020年6月—2021年6月山西医科大学第一医院口腔颌面外科使用3D显微镜辅助手术的35例患者的临床资料。结果使用3D显微镜辅助手术的 35例患者中,游离皮瓣显微血管吻合19例,腮腺良性肿瘤切除7例,迷走神经鞘瘤1例,下颌下腺良性肿瘤3例,唇裂修复2例,鼻唇畸形整复3例。手术均顺利完成,患者满意。结论 3D显微镜在口腔颌面外科中的显微吻合、精细解剖、美容缝合和临床教学等领域具有较高的使用价值。

关键词: 3D显微镜, 口腔颌面外科手术, 适应证, 优缺点

Abstract: PURPOSE: To explore the clinical application scope, advantages and disadvantages of 3D microscope in oral and maxillofacial surgery. METHODS: The clinical data of 35 patients undergoing 3D microscope-assisted surgery from June 2020 to June 2021 in the Department of Oral and Maxillofacial Surgery, First Hospital of Shanxi Medical University were summarized. RESULTS: Of 35 patients undergoing 3D microscope-assisted surgery, there were 19 cases of free skin flap microvascular anastomosis, 7 cases of parotid benign tumor resection, 1 case of vagal schwannoma, 3 cases of submandibular gland benign tumor, 2 cases of cleft lip repair, and 3 cases of nasolabial deformity reconstruction. All operations were successfully completed, and all patients were satisfied with the operations. CONCLUSIONS: 3D microscope has high value in the fields of micro-anastomosis, fine anatomy, cosmetic suture and clinical teaching in oral and maxillofacial surgery.

Key words: 3D microscope, Oral and maxillofacial surgery, Indications, Advantages and disadvantages

中图分类号:

R782.05

闫星泉, 南欣荣, 任晓彦, 赵佳雄, 孟兵. 3D显微镜在35例口腔颌面外科手术中的应用效果评价[J]. 中国口腔颌面外科杂志, 2022, 20(6): 590-593.

YAN Xing-quan, NAN Xin-rong, REN Xiao-yan, ZHAO Jia-xiong, MENG Bing. Application of 3D microscope in oral and maxillofacial surgery for 35 cases[J]. China J Oral Maxillofac Surg, 2022, 20(6): 590-593.

参考文献

[1] 刘屹林, 王玉强, 杨浩, 等. 3D显微镜下经口松解复位二期后路内固定治疗难复性寰枢关节脱位[J]. 中华创伤骨科杂志,2018, 20(4): 280-285.
Liu YL, Wang YQ, Yang H, et al.Secondary posterior internal fixation after transoral anterior atlantoaxial release under 3D operative microscopy for irreducible atlantoaxial dislocation[J]. Chinese Journal of Orthopaedic Trauma, 2018, 20(4): 280-285.
[2] Herlan S, Marquardt JS, Hirt B, et al.3D exoscope system in neurosurgery-comparison of a standard operating microscope with a new 3D exoscope in the cadaver lab[J]. Oper Neurosurg (Hagerstown), 2019, 17(5): 518-524.
[3] De Virgilio A, Festa BM, Costantino A, et al.High-definition 3D exoscope-assisted soft palate excision and reconstruction[J]. Head Neck, 2022, 44(1): 292-295.
[4] Piatkowski AA, Keuter XHA, Schols RM, et al.Potential of performing a microvascular free flap reconstruction using solely a 3D exoscope instead of a conventional microscope[J]. J Plast Reconstr Aesthet Surg, 2018, 71(11): 1664-1678.
[5] 陈杰文, 李春海. 3D显微镜在脊柱外科手术中的应用[J]. 中国骨与关节损伤杂志, 2020, 35(3): 273-274.
Chen JW, Li CH.Application of 3D microscope in spinal surgery[J]. Chinese Journal of Bone and Joint Injury, 2020, 35(3): 273-274.
[6] 王鹏涛, 张嘉男, 刘团江, 等. 3D显微镜辅助下颈椎前路间盘切除椎体间植骨融合术的临床疗效[J]. 骨科, 2021, 12(3): 232-235, 253.
Wang PT, Zhang JN, Liu TJ, et al.Clinical effect of anterior cervical surgery assisted by 3D microscope[J]. Orthopaedics, 2021,12(3): 232-235, 253.
[7] 赵良运, 涂响安, 毛晓鹏, 等. 显微精索静脉结扎术开展5年经验与特殊情况处理(附357例报告)[J]. 中国男科学杂志, 2017, 31(6): 45-49.
Zhao LY, Tu XA, Mao XP, et al.A retrospective study on experience and treatment of microsurgical varicocelectomy during five years ( a report of 357 cases)[J]. Chinese Journal of Andrology, 2017, 31(6): 45-49.
[8] Grammatica A, Schreiber A, Vural A, et al.Application of a 3D 4K exoscopic system to head and neck reconstruction: a feasibility study[J]. Eur J Plast Surg, 2019, 42: 611-614.
[9] Ichikawa Y, Senda D, Shingyochi Y, et al.Potential advantages of using three-dimensional exoscope for microvascular anastomosis in free flap transfer[J]. Plast Reconstr Surg, 2019, 144(4): 726e-727e.
[10] 熊利峰, 李建虎, 李立志. 美容切口显微镜辅助下行腮腺良性肿瘤切除术38例报告[J].临床口腔医学杂志, 2010, 26(3): 156-156.
Xiong LF, Li JH, Li LZ.Report of 38 cases of parotid gland benign tumor resection assisted by cosmetic incision microscope[J]. Journal of Clinical Stomatology, 2010, 26(3): 156-156.
[11] 田利, 沈美丽, 高德君. 显微镜下Parks切口无线结连续缝合在小儿共同性斜视手术后临床观察[J].中国中医眼科杂志, 2021, 31(2): 103-106.
Tian L, Shen ML, Gao DJ.Clinical observation of continuous Parks incision with knotless suture after concomitant strabismus operation in children under microscope[J]. China Journal of Chinese Ophthalmology, 2021, 31(2): 103-106.
[12] 李春宝, 张柏青, 刘洋, 等. 骨科关节镜影像临床教学系统在住院医师规范化培训中的应用[J].中国医学教育技术, 2018, 32(6): 638-641.
Li CB, Zhang BQ, Liu Y, et al.Application of the orthopedic arthroscopy imaging clinical teaching system in resident standardization training[J]. China Medical Education Technology, 2018, 32(6): 638-641.
[13] 王硕. 三维手术录像技术提高脑血管病手术教学效果[J].中国卒中杂志, 2014, 9(5): 457-458.
Wang S.Three-dimensional surgical video technology to improve the teaching effect of cerebrovascular disease surgery[J]. Chinese Journal of Stroke, 2014, 9(5): 457-458.
[14] 毛海青, 张意志. 术中三维导航结合显微镜技术在脊柱外科教学中的应用[J].中国医学教育技术, 2020, 34(6): 781-784.
Mao HQ, Zhang YZ.Application of intraoperative 3D navigation combined with microscope technology in the teaching of spine surgery[J]. China Medical Education Technology, 2020, 34(6): 781-784.
[15] De Virgilio A, Costantino A, Ferreli F, et al.High-definition three-dimensional exoscope for head and neck reconstruction: prospective analysis of 27 consecutive patients[J]. Head Neck, 2021, 43(5):1574-1580.

3D显微镜在35例口腔颌面外科手术中的应用效果评价

Application of 3D microscope in oral and maxillofacial surgery for 35 cases

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