三维重建技术在颌面外科中的临床应用效果研究

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• 英文论文题名：The clinical application of research results in the three-dimensional reconstruction of maxillofacial surgery
• 论文作者：曹明
• 年：2016
• 作者机构：铜仁地区人民医院;
• 论文关键词：三维重建技术 ; 颌面外科 ; 应用效果 ; 诊断价值
• 英文论文关键词：three-dimensional reconstruction ; Maxillofacial Surgery ; application effect ; diagnostic value
• 会议召开时间：2016-11-10
• 会议录名称：西部发展论坛论文集
• 语种：中文
• 分类号：R782
• 学会代码：CBZD
• 会议名称：西部发展论坛
• 会议地点：中国陕西西安
• 主办单位：中国船舶工业行业协会铸锻分会、湖北知音传媒股份有限公司
• 学会名称：中国船舶工业行业协会铸锻分会
• 页数：2
• 文件大小：1539k
• 原文格式：D
• 会议级别：全国

摘要

目的 :探讨三维重建技术在颌面外科中的临床应用效果及其诊断价值。方法:对我院收治的70例颌面部外伤患者资料进行分析,采用普通X线射线、螺旋CT二维扫描以及三维重建技术成像检查,分析三维重建技术的颌面外科中的应用效果。结果:二维CT和三维CT共诊断出207例骨折处(P>0.05),显著多于X线(185处)(P<0.05);三维CT中79例下颌骨,53例上颌骨,42例管骨骨折,显著多于X线诊断(P<0.05);70例患者中共有212例骨折,三维CT确诊率和二维CT确诊率差异不显著(P>0.05);三维CT确诊率为97.6%,显著高于X线(确诊率为88.1%)(P<0.05);70例患者治疗后50例显效,占71.4%,15例好转,占21.5%,治疗总有效率为92.9%。结论:计算机辅助三维重建技术在颌面外科中使用效果理想,能够弥补普通X线以及二维CT诊断时的不足,能够作为常规影像学检查方法,值得推广使用。
Objective: To investigate the clinical effect of three-dimensional reconstruction techniques and diagnostic value in maxillofacial surgery.Methods: 70 cases of maxillofacial trauma patients admitted to our hospital were analyzed using ordinary X-ray radiation, spiral CT scanning and three-dimensional reconstruction of two-dimensional imaging technology to analyze the threedimensional reconstruction of maxillofacial surgery application effect.Results: The two-dimensional and three-dimensional CT CT of 207 cases were diagnosed fracture(P> 0.05), significantly more than the X-ray(185)(P <0.05); three-dimensional CT in the mandible in 79 cases, 53 cases of the maxilla, 42 Example pipe fractures, significantly more than the X-ray diagnosis(P <0.05); 70 patients, a total of 212 cases of fractures, three-dimensional and two-dimensional CT CT diagnosis rate was not significantly different diagnosis rates(P> 0.05); three-dimensional CT diagnosis was 97.6%, significantly higher than the X-ray(diagnosis was 88.1%)(P <0.05); after 70 cases of patients were cured 50 cases, accounting for 71.4%, 15 cases improved, accounting for 21.5%, total effective rate was 92.9%.Conclusion: The use of computer-aided three-dimensional reconstruction technique in maxillofacial surgery results are satisfactory, can compensate for the lack of ordinary two-dimensional X-ray and CT diagnosis, can be used as a conventional imaging methods, should be introduced.

引文

[1]王国云.头颅模型在复杂颌骨骨折手术中的应用[J].第三军医大学学报,2010,32(18):2035-2036.
    [2]何冬梅,李政康,范先群,等.计算机辅助导航系统和个体化三维钛网在陈旧性眶颧骨折治疗中的应用[J].中国口腔颌面外科杂志,2011,9(2):143-150.
    [3]李祖兵,张益,刘彦普,等.口腔颌面创伤外科学[M].北京:人民卫生出版社,2011:537.
    [4]于卓,张佩青.领面骨骨折检测手法简析[J]..现代中西医结合杂志,2011,12(9):15一17.
    [5]王培霞,彭瑞琴.多层螺旋CT检测以及三维重建技术[J].中外医疗2011,12(5):18-19.
    [6]赵海宾.螺旋CT三维重建技术在颌面部骨折诊断和治疗中的价值和临床意义分析.中国美容医学,2012,10(30):220-221.
    [7]董家鸿,黄志强.精准肝切除-21世纪肝脏外科新理念.中华外科杂志2009;47:1601-1605
    [8]桂海军,张诗雷,沈国芳,等.光学导航定位多自由度机械臂辅助颅颌面骨畸形整复技术方法的建立及初步应用[J].中国口腔颌面外科杂志,2011,9(3):178-82.
    [9]Hackl W,Hausberger K,Sailer R,et al.Prevalence of cervical spine injuries in patients with facial trauma[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2011,92(4):370-376.
    [10]Hogg NJ,Stewart TC,Armstrong JE,etal.Epidemiology of maxilla of acial injuries at trauma hospitals in Ontario,Canada,between 1992 and1997[J].J Trauma,2010,49(3):425-432.
    [11]Husmann L,Alkadhi H,Boehm T,et a1.Influence of cardiachemodynamic parameters on coronar artery opacification with64-slice computed tomography[J].Eur Radiol,2013,16(5):1111-1116.
    [12]Ogundare BO,Bonnick A,Bayley N.Pattern of mandibular fractures in an urbanmajor trauma center[J].J Oral Maxillofac Surg,2013,61(6):713-718