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传统模型手术与虚拟手术规划在上颌位置准确性方面的比较。

Comparison of the accuracy of maxillary position between conventional model surgery and virtual surgical planning.

作者信息

Ritto F G, Schmitt A R M, Pimentel T, Canellas J V, Medeiros P J

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universidade do Estado do Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brazil.

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universidade do Estado do Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brazil.

出版信息

Int J Oral Maxillofac Surg. 2018 Feb;47(2):160-166. doi: 10.1016/j.ijom.2017.08.012. Epub 2017 Sep 23.

Abstract

The aim of this study was to determine whether virtual surgical planning (VSP) is an accurate method for positioning the maxilla when compared to conventional articulator model surgery (CMS), through the superimposition of computed tomography (CT) images. This retrospective study included the records of 30 adult patients submitted to bimaxillary orthognathic surgery. Two groups were created according to the treatment planning performed: CMS and VSP. The treatment planning protocol was the same for all patients. Pre- and postoperative CT images were superimposed and the linear distances between upper jaw reference points were measured. Measurements were then compared to the treatment planning, and the difference in accuracy between CMS and VSP was determined using the t-test for independent samples. The success criterion adopted was a mean linear difference of <2mm. The mean linear difference between planned and obtained movements for CMS was 1.27±1.05mm, and for VSP was 1.20±1.08mm. With CMS, 80% of overlapping reference points had a difference of <2mm, while for VSP this value was 83.6%. There was no statistically significant difference between the two techniques regarding accuracy (P>0.05).

摘要

本研究的目的是通过计算机断层扫描(CT)图像的叠加,确定与传统咬合架模型手术(CMS)相比,虚拟手术规划(VSP)在对上颌骨进行定位时是否为一种准确的方法。这项回顾性研究纳入了30例接受双颌正颌手术的成年患者的记录。根据所进行的治疗计划创建了两组:CMS组和VSP组。所有患者的治疗计划方案相同。对术前和术后的CT图像进行叠加,并测量上颌参考点之间的线性距离。然后将测量结果与治疗计划进行比较,并使用独立样本t检验确定CMS和VSP在准确性上的差异。采用的成功标准是平均线性差异<2mm。CMS组计划移动与实际移动之间的平均线性差异为1.27±1.05mm,VSP组为1.20±1.08mm。对于CMS,80%的重叠参考点差异<2mm,而VSP组这一数值为83.6%。在准确性方面,两种技术之间无统计学显著差异(P>0.05)。

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