Truedsson A, Hjalte K, Sunzel B, Warfvinge G
Department of Oral Pathology, Malmö University, Malmö, Sweden.
Clin Oral Implants Res. 2013 Oct;24(10):1088-93. doi: 10.1111/j.1600-0501.2012.02515.x. Epub 2012 Jun 15.
To estimate and compare the costs of maxillary sinus augmentation performed with autologous bone graft either from the iliac crest or from local bone harvested from the mandibula. To evaluate post-operative health-related quality-of-life parameters for patients subjected to sinus augmentation and iliac bone surgery.
The hospital records of 14 patients subjected to sinus augmentation with iliac autograft, and 14 patients treated with local autograft, were analysed with regard to costs related to surgery, hospitalization and sick leave. Post-operative health parameters were assessed with a questionnaire.
Mean hospital costs, administration excluded, for sinus augmentation with iliac autograft was €3447. Policlinic treatment alternatives e.g. local bone autograft with or without bone substitutes, rendered costs of approximately 42% thereof. The loss of production for a worker was 41% of the total cost (€9285). With regard to health-related quality-of-life and post-operative morbidity, most of the patients had recovered 14 days after the iliac graft surgery.
The cost for a sinus augmentation with iliac surgery exceeds that of a policlinic procedure manifold. Provided that a policlinic operation with local bone, with or without bone substitute, renders an adequate end result, the economic gain would be substantial and post-operative morbidity would be greatly reduced.
评估并比较采用取自髂嵴的自体骨移植或取自下颌骨的局部骨进行上颌窦提升术的成本。评估接受窦提升术和髂骨手术患者术后与健康相关的生活质量参数。
分析了14例行髂骨自体骨移植窦提升术患者和14例行局部自体骨移植患者的医院记录，内容涉及手术、住院和病假相关成本。通过问卷调查评估术后健康参数。
排除管理费用后，髂骨自体骨移植窦提升术的平均住院成本为3447欧元。门诊治疗方案，如使用或不使用骨替代物的局部自体骨移植，成本约为其42%。一名工人的生产损失占总成本（9285欧元）的41%。关于与健康相关的生活质量和术后发病率，大多数患者在髂骨移植手术后14天恢复。
髂骨手术进行窦提升术的成本比门诊手术高出许多倍。如果使用或不使用骨替代物的局部骨门诊手术能产生足够的最终效果，经济收益将是巨大的，且术后发病率将大大降低。
