本文關(guān)鍵詞：數(shù)字化正頜外科流程及臨床效果回顧性分析　出處：《上海交通大學(xué)學(xué)報(bào)(醫(yī)學(xué)版)》2016年09期 　論文類型：期刊論文

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【摘要】：目的·建立規(guī)范的數(shù)字化正頜外科流程并評(píng)價(jià)其效果。方法·選擇2014—2015年接受數(shù)字化正頜外科治療的788例牙頜面畸形患者作為研究對(duì)象,按照"臨床資料收集、數(shù)據(jù)處理、計(jì)算機(jī)輔助手術(shù)規(guī)劃與模擬、三維打印與合板處理、正頜外科手術(shù)實(shí)施、手術(shù)效果反饋與資料回收、多方核查與記錄"的流程實(shí)施治療并評(píng)價(jià)其效果。結(jié)果·所有788例患者獲得了良好的手術(shù)效果,患者術(shù)前、術(shù)中和術(shù)后隨訪資料以及手術(shù)醫(yī)生的評(píng)價(jià)和反饋信息得到了完整保存。未發(fā)生板丟失、混淆等重大失誤。醫(yī)生、管理護(hù)士和設(shè)計(jì)人員在整個(gè)流程中能流暢配合,對(duì)流程安排滿意。在流程中出現(xiàn)的設(shè)計(jì)醫(yī)生忘記調(diào)試板、板未及時(shí)消毒等情況,均在多方核查時(shí)及時(shí)發(fā)現(xiàn)和處理。結(jié)論·規(guī)范化的數(shù)字化正頜外科流程應(yīng)包括臨床資料收集、數(shù)據(jù)處理、計(jì)算機(jī)輔助手術(shù)規(guī)劃與模擬、三維打印與板處理、正頜外科手術(shù)實(shí)施、手術(shù)效果反饋與資料回收、多方核查與記錄等步驟,其可有效減少失誤,確保數(shù)字化板的精度,提高患者的就診體驗(yàn)、工作效率和治療效果,推動(dòng)正頜外科的發(fā)展和普及。
[Abstract]:Objective: to establish a standard digital orthognathic surgery procedure and evaluate its effect. Methods: 788 patients with maxillofacial malformation received digital orthognathic surgery in 2014-2015 were selected as the study objects. According to the "clinical data collection, data processing, computer-aided surgery planning and simulation, three-dimensional printing and plate processing, orthognathic surgery, surgical results feedback and data recovery." Results: all 788 patients received good surgical results before operation. The follow-up data during and after the operation and the evaluation and feedback from the surgeon were completely preserved. There were no major mistakes such as board loss, confusion and so on. Doctors, management nurses and designers were able to cooperate smoothly throughout the process. Satisfied with the process arrangement. The designer forgot to debug the board and the board was not disinfected in time. Conclusion: the standardized procedure of orthognathic surgery should include clinical data collection, data processing, computer aided operation planning and simulation, 3D printing and plate processing. The implementation of orthognathic surgery, surgical effect feedback and data recovery, multi-party verification and recording can effectively reduce errors, ensure the accuracy of the digital plate, and improve the patient's experience. Working efficiency and therapeutic effect promote the development and popularization of orthognathic surgery.
【作者單位】： 上海交通大學(xué)醫(yī)學(xué)院附屬第九人民醫(yī)院口腔顱頜面科上海市口腔醫(yī)學(xué)研究所;
【基金】：上海市教育委員會(huì)高峰高原學(xué)科建設(shè)計(jì)劃(20152225) 上海交通大學(xué)醫(yī)學(xué)院本科教學(xué)改革項(xiàng)目;上海交通大學(xué)醫(yī)學(xué)院醫(yī)學(xué)教育研究項(xiàng)目(YB150619)~~
【分類號(hào)】：R782
【正文快照】： 數(shù)字化正頜外科是結(jié)合醫(yī)學(xué)影像、數(shù)學(xué)、計(jì)算機(jī)信息學(xué)、電子學(xué)、機(jī)械工程及醫(yī)學(xué)等多學(xué)科的新興交叉技術(shù)[1]。基于計(jì)算機(jī)輔助技術(shù)進(jìn)行正頜手術(shù)規(guī)劃,可模擬手術(shù)操作,預(yù)測(cè)手術(shù)效果,增強(qiáng)醫(yī)患溝通效果,提高手術(shù)精度,為建立和諧的醫(yī)患關(guān)系提供基礎(chǔ)[1-6]。近年來,數(shù)字化正頜外科在各大

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