本文選題：計(jì)算機(jī)輔助導(dǎo)航系統(tǒng)　切入點(diǎn)：顱頜面部骨纖維異常增殖癥　出處：《上海交通大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:探討計(jì)算機(jī)輔助導(dǎo)航系統(tǒng)在顱頜面部骨纖維異常增殖癥輪廓修整中的應(yīng)用效果。方法:回顧性收集2010年1月—2013年12月于上海交通大學(xué)醫(yī)學(xué)院附屬第九人民醫(yī)院口腔顱頜面科就診的33例顱頜面骨纖維異常增殖癥患者,按照治療方法分為兩組:實(shí)驗(yàn)組17例,術(shù)前利用計(jì)算機(jī)導(dǎo)航系統(tǒng)的軟件設(shè)計(jì)治療方案,術(shù)中在該導(dǎo)航系統(tǒng)輔助下進(jìn)行病變部分切除及輪廓修整術(shù);對(duì)照組16例,用傳統(tǒng)方法進(jìn)行病變部分切除及輪廓修整術(shù)。術(shù)后1周和3個(gè)月拍攝顱頜面部CT并進(jìn)行三維重建,應(yīng)用三維檢測(cè)軟件Geomagic Qualify對(duì)手術(shù)區(qū)域與相應(yīng)術(shù)前模擬設(shè)計(jì)區(qū)域的偏差、兩組病例術(shù)后顱頜骨的對(duì)稱性進(jìn)行量化評(píng)價(jià),并對(duì)出現(xiàn)誤差的原因進(jìn)行分析。結(jié)果:以鏡像模型為參考模型,導(dǎo)航組中手術(shù)區(qū)域的平均偏差值為2.1285±1.2957 mm,非導(dǎo)航組中手術(shù)區(qū)域的平均偏差值4.4814±2.1940mm,導(dǎo)航組和非導(dǎo)航組手術(shù)區(qū)域的平均偏差值存在顯著統(tǒng)計(jì)學(xué)差異(p0.01)。術(shù)后模型與術(shù)前模擬設(shè)計(jì)相比的平均偏差為2.1400±1.2482mm。結(jié)論:計(jì)算機(jī)導(dǎo)航系統(tǒng)輔助下進(jìn)行的顱頜面部骨纖維異常增殖癥輪廓修整術(shù)具有較高的精度,與傳統(tǒng)手術(shù)方法相比能更好地恢復(fù)患者顱頜骨的對(duì)稱性。
[Abstract]:Objective: to investigate the effect of computer aided navigation system in the contour dressing of craniomaxillofacial fibrous dysplasia. Methods: 9th patients affiliated to Shanghai Jiaotong University Medical College from January 2010 to December 2013 were collected retrospectively. 33 patients with craniomaxillofacial fibrous dysplasia, According to the treatment method, 17 cases in the experimental group were divided into two groups: 17 cases in the experimental group, 16 cases in the control group were treated with the software of computer navigation system before operation, partial resection and contours were performed during the operation assisted by the navigation system, and 16 cases in the control group were treated with computer navigation system. The traditional method of partial resection and contour dressing was used. Ct and 3D reconstruction of craniomaxillofacial region were taken 1 week and 3 months after operation. The deviation between the operation area and the corresponding preoperative simulated design area was analyzed by using Geomagic Qualify. The symmetry of craniomaxillary bone was quantitatively evaluated in both groups, and the causes of errors were analyzed. Results: the mirror image model was used as reference model. The mean deviation of operation area in navigation group was 2.1285 鹵1.2957 mm, and that in non-navigation group was 4.4814 鹵2.194 mm. There was significant difference in mean deviation between navigation group and non-navigation group. The average deviation of the design is 2.1400 鹵1.2482 m.Conclusion: the contours of craniomaxillofacial fibrous dysplasia with the aid of computer navigation system have high accuracy. Compared with the traditional surgical methods, it can recover the symmetry of craniomaxillary bone.
【學(xué)位授予單位】：上海交通大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R782.2;TP391.41

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本文編號(hào)：1572409