口腔医学研究 ›› 2019, Vol. 35 ›› Issue (12): 1153-1156.DOI: 10.13701/j.cnki.kqyxyj.2019.12.013

• 口腔颌面外科学研究 • 上一篇    下一篇

3D打印塞治器在下颌骨囊性病变中的应用

梁燕1, 马文1, 聂焱2, 付帅1, 张长彬1, 崔庆赢1, 王立冬1, 黎明1*   

  1. 1. 昆明医科大学附属口腔医院口腔颌面外科 云南 昆明 650101;
    2. 昆明医科大学附属口腔医院第二门诊部 云南 昆明 650101
  • 收稿日期:2019-05-17 出版日期:2019-12-28 发布日期:2019-12-23
  • 通讯作者: 黎明,E-mail:1020513890@qq.com
  • 作者简介:梁燕(1993~ ),女,云南玉溪人,硕士,研究方向:口腔颌面外科学。
  • 基金资助:
    云南省应用基础研究(昆医联合专项)[编号:2017FE467(-193)]

Application of 3D Printed Cyst Plug in Mandibular Cystic Lesions

LIANG Yan1, MA Wen1, NIE Yan2, FU Shuai1, ZHANG Changbin1, CUI Qingying1, WANG Lidong1, LI Ming1*   

  1. 1. Department of Oral and Maxillofacial Surgery, Affiliated Stomatology Hospital of Kunming Medical University, Kunming 650101, China;
    2. The Second Clinic, Affiliated Stomatology Hospital of Kunming Medical University, Kunming 650101, China.
  • Received:2019-05-17 Online:2019-12-28 Published:2019-12-23

摘要: 目的:探讨3D打印塞治器在下颌骨囊性病变中的应用。方法:将40例下颌骨囊性病变患者随机分为对照组和3D打印塞治器组。对照组制作传统塞治器,3D打印塞治器组采用数字化技术,结合术前模型及口腔检查设计手术方案,并设计3D打印塞治器。两组患者佩戴塞治器后长时间随访,比较两组患者囊腔体积缩小率,并对塞治器固位、舒适及摘戴满意度进行评价。结果:两组患者术后囊腔体积均有缩小,且术后前3个月囊腔体积减少均比后3个月明显;3D打印塞治器在舒适(P<0.05)及摘戴(P<0.05)满意度优于对照组,而两组之间固位(P>0.05)满意度未见明显差异。结论:3D打印塞治器是开窗减压术后维持囊腔内外压力平衡的有效装置。

关键词: 下颌骨囊性病变, 3D打印, 塞治器, 开窗减压术, 聚乳酸

Abstract: Objective: To investigate the application of 3D printed cyst plug in the mandibular cystic lesion. Methods: Forty patients with mandibular cystic lesion were randomly divided into the control group and 3D printed cyst plug group. The control group was made with traditional cyst plug, and 3D printed cyst plug group was digitally designed surgical plan and 3D printed cyst plug through a preoperative model and oral examination. Two groups of patients were followed up for a long time. The reduction rate of the cyst volume was compared, and the patients' satisfaction with the cyst plug was studied. Results: The volume of the cyst was reduced in both groups, and the reduction of cyst volume in the first 3 months after surgery was more obvious than that in the next 3 months. The group of 3D printed cyst plug was better than the control group in the comfort (P<0.05) and wearing (P<0.05), but there were no significant differences in the retention between two groups (P>0.05). Conclusion: The 3D printed cyst plug is an effective device to keep the pressure balance of cyst after decompression.

Key words: mandibular cystic lesions, 3D printed, cyst plug, decompression, polylactic acid