中国口腔颌面外科杂志 ›› 2025, Vol. 23 ›› Issue (3): 209-214.doi: 10.19438/j.cjoms.2025.03.001

• 讲座 • 上一篇    下一篇

牙颌面畸形诊治远程医疗模式的建设与思考

胡玲玲, 孙英佳, 姜佩玲, 谢志坚   

  1. 浙江大学医学院附属口腔医院,浙江大学口腔医学院,浙江省口腔疾病临床医学研究中心,浙江省口腔生物医学研究重点实验室,浙江大学癌症研究院,浙江 杭州 310006
  • 收稿日期:2024-11-28 修回日期:2025-02-25 出版日期:2025-05-20 发布日期:2025-06-05
  • 通讯作者: 谢志坚,E-mail: xzj66@zju.edu.cn
  • 作者简介:胡玲玲(1991-),女,硕士,E-mail: oral.hll@zju.edu.cn
  • 基金资助:
    中央引导地方科技发展资金项目(2023ZY1060);浙大口腔R&D项目-临床前沿技术应用项目(RD2022YYYB03)

Exploration on construction of remote medical model for the diagnosis and treatment of dento-maxillofacial deformities

Hu Lingling, Sun Yingjia, Jiang Peiling, Xie Zhijian   

  1. Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine; Clinical Research Center for Oral Diseases of Zhejiang Province; Key Laboratory of Oral Biomedical Research of Zhejiang Province; Cancer Center of Zhejiang University. Hangzhou 310006, Zhejiang Province, China
  • Received:2024-11-28 Revised:2025-02-25 Online:2025-05-20 Published:2025-06-05

摘要: 正畸-正颌联合治疗是目前严重牙颌面畸形的主要治疗方法,但由于其治疗周期长且手术复杂,存在异地患者就诊不便、优质医疗资源辐射范围受限等问题。为了解决这些问题,本文基于“互联网+医疗”理念提出牙颌面畸形诊治远程医疗模式,并设计其规范化流程和质量控制体系,该模式通过形成“1+1+N”型区域协作体,以远程医疗中心为核心,以牙颌面畸形会诊云平台为连接枢纽,有效整合优质医疗资源,提升治疗效率和患者体验。此外,本研究还聚焦于多功能牙颌面畸形会诊云平台以及全流程质控体系的具体建设,为强化远程医疗质量监管、促进医疗资源合理配置和提高基层医院服务水平提供科学有效的方案。

关键词: 牙颌面畸形, 远程医疗, 远程质控, 正畸-正颌联合治疗

Abstract: The orthodontic-orthognathic treatment is presently the predominant approach to rectifying dentomaxillofacial deformities. Nevertheless, the extended duration of the treatment cycle and the intricacy of the surgical procedures pose significant challenges for patients situated in various locations and restrict the accessibility of superior medical resources. To mitigate these limitations, this study introduced a remote medicine model for dentomaxillofacial deformities, predicated on the "internet + medicine" paradigm, and delineated its standardized procedures and quality control framework. This model adhered to the "1+1+N" paradigm, where a remote medical center served as the nucleus, and a dentomaxillofacial deformity consultation e-cloud platform functioned as the interconnecting nexus. This arrangement facilitated the effective amalgamation of superior medical resources, thereby augmenting treatment efficacy and enhancing patient experience. Additionally, this study focused on the detailed construction of a multifunctional dentomaxillofacial deformity consultation e-cloud platform and comprehensive quality control framework. This approach provided a scientific and effective solution for strengthening remote medical quality supervision, promoting the rational allocation of medical resources, and improving the service level of primary hospitals.

Key words: Dentomaxillofacial deformities, Remote medicine, Remote quality control, Combined orthodontic-orthognathic treatment

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