查詢結果分析
相關文獻
- 後上齒槽動脈之骨內吻合與上顎竇增高術之關係
- 上顎竇增高術之相關解剖構造--文獻回顧
- 上顎竇增高術--手骨鑽法(手用骨鑽法)
- 以STEP-DOWN方法行上顎竇增高術合併延遲性植牙之病例報告
- 上顎後牙單顆缺牙之植牙治療考量:病例報告及文獻回顧
- Various Approaches to the Surgical Management of Septa during the Maxillary Sinus Floor Elevation: A Case Report and a Literature Review
- 以超音波骨刀完成上顎竇增高術--病例報告
- Staged Osteotome Sinus Floor Elevation Technique in Limited Anatomic Situation for Dental Implant--A Case Report
- 應用下顎骨塊狀骨移植做上顎竇增高術及全口植牙重建--病例報告
- 超音波骨刀於牙科手術之應用
頁籤選單縮合
| 題 名 | 後上齒槽動脈之骨內吻合與上顎竇增高術之關係=Intraosseous Vascular Anastomosis of the Posterior Superior Alveolar Artery |
|---|---|
| 作 者 | 張極青; 潘惠玲; 呂佳芳; 朱毓仁; 張陽明; 陳朝寶; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
| 卷 期 | 27:2 2016.06[民105.06] |
| 頁 次 | 頁73-81 |
| 分類號 | 416.96 |
| 關鍵詞 | 上顎竇增高術; 後上齒槽動脈; 椎狀束電腦斷層; Maxillary sinus augmentation; Posterior superior alveolar artery; Cone-beam computed tomography; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 上顎竇側壁內常有後上齒槽動脈之骨內吻合存在,在施行側壁開窗上顎竇增高術時容易侵犯此血管,導致術中出血及術後血腫等併發症而影響手術進行及預後。本影像學研究旨在探討此血管吻合在上顎竇中的位置分布,直徑大小,進而計算符合側壁開窗上顎竇增高術之適應症息者中,可能侵犯此解剖構造並造成顯著出血之比例及風險。研究樣本為隨機選取共100位台北長庚紀念醫院牙科病息之椎狀束電腦斷層影像,並利用統計方法分析各測量值。本研究所選取的資料中可辨識的血管吻合影像為87.2%,血管吻合下緣至齒槽骨脊最外突點的平均距離為18.16 ± 5.71 mm,血管直徑大於等於2 mm者比例為 16.1%,手術中易侵犯直徑大於等於2 mm之血管並造成大量出血的高風險族群比例為2.4%。研究結果顯示,側壁開窗手術前可藉由適當的椎狀束電腦斷層影像調整術區大小,進而大大降低術中顯著出血的風險。 |
| 英文摘要 | Intraosseous anastomosis of the posterior superior alveolar artery often presents at the lateral wall of maxillary sinus, should the artery be invaded during lateral wall sinus augmentation, complications such as brisk bleeding and post-operative hematoma would jeopardize healing and affect prognosis. The present radiographic study was designated to identify the location and diameter of the vascular anastomosis, and then calculate the risk of profound bleeding caused by severing the artery among indicated sites. The study sample consisted of 100 randomly selected maxillary full-arch cone-beam computed tomography (CBCT) scans obtained from the database of Taipei Chang-Gung Memorial Hospital Dental Department, Taipei, Taiwan. Results were analyzed by statistical methods. The artery anastomosis could be seen in 87.2%of selected images, the distance between the inferior border of the structure to the most lateral point of the alveolar ridge was 18.16±5.71 mm. The vascular diameter was 2 mm or above in 16.1% of all sites. The risk of excessive bleeding caused by invasion of the larger arteries during surgery was 2.4%. Results show that by using pre-operative CBCT studies to adjust the size of the lateral window will greatly reduce the risk of excessive bleeding during surgery. |
本系統中英文摘要資訊取自各篇刊載內容。