超声骨刀联合富血小板纤维蛋白在闭合式上颌窦底提升术中的应用
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摘要
目的:探讨超声骨刀联合富血小板纤维蛋白在闭合式上颌窦底提升术中的临床应用效果。方法:选取2018年1月至2018年12月行闭合式上颌窦底提升术患者50例作为研究对象,按照随机数字表将其分为研究组(25例)及对照组(25例),对照组采用传统球钻行上颌窦底外提升术,研究组采用超声骨刀联合富血小板纤维蛋白进行治疗,并分析2组术后疼痛、上颌窦黏膜破裂、术后止痛药服用情况以及术后生活质量。结果:研究组术后第1、3、7天患者疼痛评分明显低于对照组(P<0.05),但2组患者术后第14天疼痛评分差异无统计学意义(P>0.05);研究组上颌窦黏膜破裂率为4%,对照组上颌窦黏膜破裂为24%,差异有统计学意义(P<0.05);研究组术后第1、3、7天止痛药服用剂量明显低于对照组(P<0.05);术后第14天2组患者止痛药服用剂量差异无统计学意义(P>0.05);研究组生活质量各项评分均高于对照组(P<0.05)。结论:超声骨刀联合富血小板纤维蛋白在闭合式上颌窦底提升术中的应用效果可靠,能够有效降低患者术后不适感,降低上颌窦黏膜破裂率,提高患者生活质量,有利于患者预后。
引文
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[2]吴耀宗,何家才,周健.超声骨刀在闭合式上颌窦底提升牙种植术中的临床应用[J].安徽医科大学学报,2009,44(2):261～264.
[3] Sposito M,Grusovin M G,Rees J,et al.Effectiveness of sinus lift procedures for dental implant rehabilitation:A Cochrane systematic review[J].Eur J Oral Implantol,2010,3(1):7～26.
[4] Kim J M,Sohn D S,Heo J U,et al.Minimally invasive sinus augmentation using ultrasonic piezoelectric vibration and hydraulic pressure:a multicenter retrospective study[J].Implant Dent,2012,21(6):536～542.
[5] Catros S,Montaudon M,Bou C,et al.Comparison of conventional transcrestal sinus lift and ultrasound-enhanced transcrestal hydrodynamic cavitational sinuslift to fill the sub-antral space:human cadaver study[J].J Oral Implantol,2015,41(6):657～661.
[6]陈广华,栾明亮,董凯丽,等.上颌窦外提升同期或延期种植上颌后牙的临床效果观察[J].安徽医学,2012,33(12):1654～1656.
[7]宓努,罗良,包祥等.富血小板纤维蛋白在上颌窦内提升术中的应用[J].中国口腔种植学杂志,2016,21(4):151～155.
[8]Scarano A,Mavriqi L,Bertelli I,et al.A.Occurrence of maxillary sinus membrane perforation following nasal suction technique and ultrasonic approach versus conventional technique with rotary instruments[J].J Craniofac Surg,2015,26(3):706～708.
[9] Barone A,Marconcini S,Giacomelli L,et al.Arandomized clinical evaluation of ultrasound bone surgery versus traditional rotary instruments in lower third molar extraction[J].J Oral Maxillofac Surg,2010,68:330～336.
[10]吴鹏,高承志.新型上颌窦内提升黏膜支架在牙缺损模型猪中的应用[J].中国医药导报,2016,13(18):122～125.
[11] Fuerst G,Tangl S,G ruber R,et a.Bone formation follow ing sinus grafting with autogenous bone derived cells and bovine bonem iner-al in minipigs:preli minary findings[J].Clin Oral Implants Res,2004,15(6):733～ 40.
[12]Summers R B.A new concept in maxillary i mplant surgery:the os teotome technique[ J].Comfend Contin Educ Dent,1994,15(2):152～160.
[13]Vercellotti T.Piezoelectric surgery in implantology:a case report-a new piezoelectric ridge expansion technique[J].Int J Periodontics Restorative Dent,2000,20(4):359～365.
[14] Vercellotti T,De Paoli S,Nevins M.The piezoelectric bony window osteotomy and sinus membrane elevation:introduction of a new technique for simplification of the sinus augmentation procedure[J].Int J Periodontics Restorative Dent,2001,21(6):561～567.
[15] Schlee M,Steigmann M,Bratu E,et al.Piezosurgery:basics and possibilities [J].Implant Dent,2006,15(4):334～340.