两种上颌窦假性囊肿减压术后上颌窦提升术式的疗效比较

doi:10.13701/j.cnki.kqyxyj.2022.04.007

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (4): 325-329.DOI: 10.13701/j.cnki.kqyxyj.2022.04.007

两种上颌窦假性囊肿减压术后上颌窦提升术式的疗效比较

胡植乔¹, 刘显¹, 刘世锋^2*, 包崇云^1*

1.四川大学华西口腔医院口腔颌面外科四川大学四川成都 610041;
2.成都华西牙种植医院口腔种植科四川成都 610041

收稿日期:2021-10-18 出版日期:2022-04-28 发布日期:2022-04-22
通讯作者: *刘世峰,E-mail: lsf97486@163.com; 包崇云,E-mail:cybao9933@scu.edu.cn
作者简介:胡植乔(1997~ ),男,四川德阳人,博士在读,研究方向:口腔颌面外科学。
基金资助:
国家重点研发计划(编号:2016YFC1102702)四川省科技厅项目(编号:2021YFS0032)四川大学华西口腔医院研究与开发计划(编号:CYJ2020-YY-1)

Comparison of Two Surgical Procedure of Maxillary Sinus Lifting after Decompression of Maxillary Sinus Pseudocyst

HU Zhiqiao¹, LIU Xian¹, LIU Shifeng^2*, BAO Chongyun^1*

1. Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;
2. Department of Dental Implant, Chengdu Huaxi Dental Implant Hospital, Chengdu 610041, China

Received:2021-10-18 Online:2022-04-28 Published:2022-04-22

摘要/Abstract

摘要： 目的: 针对上颌后牙区骨量不足且伴上颌窦假性囊肿的患者,种植标准程序尚未确定。本试验拟通过对比两种术式的临床效果,评估囊肿减压同期内提升及种植的手术疗效。方法: 分为实验组与对照组,分别采用囊肿减压后结合内提升或外提升手法上颌窦增量同期行种植手术。比较两种术式的手术时间,术后疼痛与肿胀情况,种植成功率,囊肿复发率。结果: 共34例患者纳入本试验,实验组手术时间为(27.88±3.02) min,明显短于对照组[(34.94±3.50) min,P＜0.001],同时术后反应包括疼痛(P＜0.05)与肿胀(P＜0.001)情况明显好于对照组。种植早期成功率为100%,实验组与对照组均无囊肿复发。结论: 上颌窦高位开窗囊肿减压合并上颌窦内提升同期种植的术式,明显缩短了手术时间,且种植成功率高,显著减轻患者术后反应,临床效果良好,值得临床推广。

关键词: 上颌窦, 囊肿, 上颌窦提升术, 牙种植

Abstract: Objective: To compare the clinical effects of two types of operation for patients who had insufficient bone mass in the maxillary posterior region accompanied with maxillary sinus pseudocyst. Methods: Patients were divided into experimental group and control group. In the experimental group, cyst decompression combined with crestal-approach maxillary sinus lifting and implantation was performed simultaneously, while in the control group, cyst decompression combined with lateral-approach maxillary sinus lifting was performed simultaneously. The operation time, postoperative pain and swelling, success rate of implantation, and recurrence rate of cyst were compared between two methods. Results: A total of 34 patients were enrolled in the experiment. The operation time of the experimental group [(27.88±3.02) min] was significantly shorter than that of the control group [(34.94±3.50) min, P<0.001], and the postoperative reaction, including pain (P<0.05) and swelling (P<0.001) was significantly better than that of the control group. The success rate of early implantation was 100%. No cyst recurred in each group. Conclusion: Decompression of cyst in maxillary sinus combined with simultaneous implantation and crestal-approach sinus lifting can significantly shorten the operation time, and the postoperative reaction of patients is significantly reduced with a high success rate of implantation. This method is worthy of clinical promotion.

Key words: maxillary sinus, cysts, sinus floor augmentation, dental implants

胡植乔, 刘显, 刘世锋, 包崇云. 两种上颌窦假性囊肿减压术后上颌窦提升术式的疗效比较[J]. 口腔医学研究, 2022, 38(4): 325-329.

HU Zhiqiao, LIU Xian, LIU Shifeng, BAO Chongyun. Comparison of Two Surgical Procedure of Maxillary Sinus Lifting after Decompression of Maxillary Sinus Pseudocyst[J]. Journal of Oral Science Research, 2022, 38(4): 325-329.

参考文献

[1] Chiapasco M, Palombo D. Sinus grafting and simultaneous removal of large antral pseudocysts of the maxillary sinus with a micro-invasive intraoral access[J]. Int J Oral Maxillofac Surg, 2015, 44(12): 1499-1505.
[2] Küçükkurt S. Evaluation of the survival of implant placement simultaneously with sinus augmentation: relationship in maxillary sinus pathologies[J]. Oral Radiol, 2020, 36(3): 225-237.
[3] 李率,陈波.保留上颌窦假性囊肿穿牙槽嵴顶入路上颌窦底提升的临床研究[J].实用口腔医学杂志,2015,31(1):44-47.
[4] 王清联,余优成.伴假性囊肿上颌窦外提升同期牙种植的临床研究[J].实用口腔医学杂志,2019,35(1):148-150.
[5] 武东辉,曹少萍,朱韵莹,等.伴上颌窦囊肿或慢性上颌窦炎的上颌窦底外提升术效果评价[J/CD].中华口腔医学研究杂志(电子版),2020,14(2):108-114.
[6] 包立,张令达,施乐,等.伴上颌窦囊肿的上颌窦底提升牙种植临床分析[J].口腔颌面外科杂志,2015,25(6):436-439.
[7] Fang Y, An X, Jeong SM, et al. Crestal sinus augmentation in the presence of severe sinus mucosal thickening: A report of 3 cases[J]. Implant Dent, 2018, 27(3): 388-393.
[8] Lin Y, Hu X, Metzmacher AR, et al. Maxillary sinus augmentation following removal of a maxillary sinus pseudocyst after a shortened healing period[J]. J Oral Maxillofac Surg, 2010, 68(11): 2856-2860.
[9] Yu H, Qiu L. Histological and clinical outcomes of lateral sinus floor elevation with simultaneous removal of a maxillary sinus pseudocyst[J]. Clin Implant Dent Relat Res, 2019, 21(1): 94-100.
[10] 李娜,陈灼庚,徐普.伴上颌窦囊肿的上颌窦外提升术后牙种植1例[J/CD].中华口腔医学研究杂志(电子版),2017,11(4):252-255.
[11] Manji A, Faucher J, Resnik RR, et al. Prevalence of maxillary sinus pathology in patients considered for sinus augmentation procedures for dental implants[J]. Implant Dent, 2013, 22(4): 428-435.
[12] Zhao Y, Cheng J, Yang J, et al. Modified endoscopic inferior meatal fenestration with mucosal flap for maxillary sinus diseases[J]. Wideochir Inne Tech Maloinwazyjne, 2018, 13(4): 533-538.
[13] Scott RA. ITI treatment guide, volume 5: sinus floor elevation procedures[J]. Br Dent J ,2012,212(10):512.
[14] Oh JH, An X, Jeong SM, et al. Crestal sinus augmentation in the presence of an antral pseudocyst[J]. Implant Dent, 2017, 26(6): 951-955.
[15] Ritter A, Rozendorn N, Avishai G, et al. Preoperative maxillary sinus imaging and the outcome of sinus floor augmentation and dental implants in asymptomatic fatients[J]. Ann Otol Rhinol Laryngol, 2020, 129(3): 209-215.
[16] Rodriguez Y Baena R, D'Aquino R, Graziano A, et al. Autologous periosteum-derived micrografts and PLGA/HA enhance the bone formation in sinus lift augmentation[J]. Front Cell Dev Biol, 2017, 5: 87.

两种上颌窦假性囊肿减压术后上颌窦提升术式的疗效比较

Comparison of Two Surgical Procedure of Maxillary Sinus Lifting after Decompression of Maxillary Sinus Pseudocyst

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	丛培琳, 张富华. 上颌前磨牙牙根及根管系统及其与上颌窦关系的锥形束CT研究[J]. 口腔医学研究, 2022, 38(1): 60-64.
[2]	柳忠豪. 计算机辅助规划设计助力精准种植与长期稳定[J]. 口腔医学研究, 2021, 37(9): 775-779.
[3]	贾胜男, 林野. 不同的种植修复方式对无牙颌剩余牙槽骨改建的影响[J]. 口腔医学研究, 2021, 37(7): 598-601.
[4]	管其帅, 许贺, 于甜甜, 许胜, 周文娟, 柳忠豪. 缺牙间隙对美学区水平骨增量延期种植的临床效果影响研究[J]. 口腔医学研究, 2021, 37(7): 607-611.
[5]	李佳桐, 傅裕杰, 满毅, 黄定明. 上颌磨牙根尖周囊肿致上颌窦底骨板破坏行显微手术1例[J]. 口腔医学研究, 2021, 37(7): 671-672.
[6]	王稚英. 数字化技术在牙槽骨严重骨量不足种植义齿修复中的应用[J]. 口腔医学研究, 2021, 37(6): 485-488.
[7]	余海纳, 孟维艳. 剩余骨高度<4 mm上颌窦经牙槽嵴提升不植骨的可行性研究[J]. 口腔医学研究, 2021, 37(5): 389-392.
[8]	陈姝江, 陈文川. 牙种植位点复合组织缺损增量时机与方式的选择[J]. 口腔医学研究, 2021, 37(5): 393-396.
[9]	王鹏程, 陈春晖, 童熹, 傅新海. β-TCP植入与口腔修复膜覆盖治疗对颌骨囊肿术后骨缺损的修复效果分析[J]. 口腔医学研究, 2021, 37(3): 260-263.
[10]	徐涛, 李丽曼, 刘云松, 危伊萍, 胡文杰. 重度牙周炎磨牙拔除运用微翻瓣位点保存术后种植修复效果短期观察[J]. 口腔医学研究, 2021, 37(3): 264-268.
[11]	刘瑞敏, 鄢明东, 黄文秀, 吴东, 陈江. 上颌窦侧壁开窗提升术中应用CGF的骨增量影像学评价与临床对照研究[J]. 口腔医学研究, 2021, 37(2): 162-166.
[12]	刘宗艺, 于长英. 拔牙窝植骨诱导上颌窦底自行成骨1例[J]. 口腔医学研究, 2021, 37(12): 1156-1158.
[13]	马冬, 刘鑫, 刘亚军, 丁如愿, 杨刚, 陈永翔, 王元银. 联合应用骨形成蛋白-2与转化生长因子-1α对比格犬上颌窦外提升术中成骨能力的影响[J]. 口腔医学研究, 2020, 36(9): 850-854.
[14]	王智, 邹立东. 微创技术在上颌窦内提升植骨中应用效果的影像学评价[J]. 口腔医学研究, 2020, 36(7): 688-692.
[15]	周延民, 汪汉池. 种植义齿上部修复及其并发症[J]. 口腔医学研究, 2020, 36(5): 405-409.