本文選題：牙種植　切入點(diǎn)：外科并發(fā)癥　出處：《大連醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:通過對3557例口腔種植病例進(jìn)行回顧性研究,分析種植義齒外科并發(fā)癥的發(fā)生率及其相關(guān)性因素,從而為臨床預(yù)防種植外科并發(fā)癥和規(guī)范種植治療提供參考。方法:選取2009年1月-2014年12月于煙臺市口腔醫(yī)院種植科進(jìn)行種植修復(fù)的所有病歷,按照病例排除標(biāo)準(zhǔn),篩除不合格病例。共納入3557名患者。錄入患者基本情況、術(shù)者、附加手術(shù)情況、種植體系統(tǒng)及規(guī)格型號、并發(fā)癥類型、臨床表現(xiàn)、處置及愈后,統(tǒng)計(jì)種植外科并發(fā)癥及種植外科術(shù)中、術(shù)后并發(fā)癥的相關(guān)影響因素。結(jié)果:共納入3557名患者,男性患者1672名,女性患者1885名,共植入6223顆種植體,種植體存留率是98.92%;264例患者發(fā)生種植外科并發(fā)癥,發(fā)生率為7.4%;種植外科并發(fā)癥包括創(chuàng)口裂開、種植體早期失敗、瘀斑、出血、感染、上頜竇黏膜穿孔、神經(jīng)損傷,其中創(chuàng)口裂開發(fā)生率最高,發(fā)生率為3.1%;不同醫(yī)師級別外科并發(fā)癥發(fā)生率無統(tǒng)計(jì)學(xué)差異(P0.05);上后牙位外科并發(fā)癥的發(fā)生率最高10.6%,下前牙位外科并發(fā)癥的發(fā)生率最低3.6%;伴骨增量手術(shù)方法外科并發(fā)癥的發(fā)生率比常規(guī)手術(shù)方法和微創(chuàng)手術(shù)方法明顯高(P0.05);種植外科術(shù)后并發(fā)癥的發(fā)生率比術(shù)中并發(fā)癥高;性別、吸煙、牙齦生物型、缺牙范圍、植骨與創(chuàng)口裂開有相關(guān)性(P0.05);上頜竇間隔和上頜竇黏膜厚度與上頜竇黏膜穿孔有相關(guān)性(P0.05);骨量不足、感染、早期負(fù)重與種植體早期失敗有相關(guān)性(P0.05)。結(jié)論:1.種植外科并發(fā)癥中創(chuàng)口裂開的發(fā)生率最高。2.不同種植外科并發(fā)癥影響因素不同,性別、吸煙、牙齦生物型、缺牙范圍、植骨與創(chuàng)口裂開有相關(guān)性;上頜竇間隔、上頜竇黏膜厚度與上頜竇黏膜穿孔有相關(guān)性;骨量不足、感染、早期負(fù)重與種植體早期失敗有相關(guān)性。
[Abstract]:Objective: to analyze the incidence and related factors of surgical complications of implant denture in 3557 cases of dental implant, so as to provide reference for clinical prevention of complications of implant surgery and standardization of implant treatment.Methods: from January 2009 to December 2014, all the medical records of implant repair in Department of Stomatology of Yantai Stomatological Hospital were selected, and the cases were screened out according to the standard of exclusion of cases.A total of 3557 patients were included.The basic condition of the patient, the operator, the additional operation, the implant system and its specification, the type of complications, the clinical manifestation, the treatment and the recovery were analyzed.Results: a total of 3557 patients, 1672 males and 1885 females, were implanted with 6223 implants. The survival rate of implants was 98.922%, and the incidence was 7.4%.Early implants failure, ecchymosis, bleeding, infection, maxillary sinus mucosal perforation, nerve injury, among which the rate of wound rupture is the highest.The incidence of surgical complications was 3.1. There was no significant difference in the incidence of surgical complications among different physician levels (P 0.05). The incidence of surgical complications in upper posterior teeth was the highest (10.6) and that in lower anterior teeth was the lowest (3.6%). The surgical complications associated with bone increment surgery were the lowest (P 0.05).The incidence of complications after implant surgery was higher than that of conventional surgery and minimally invasive surgery, and the incidence of postoperative complications was higher than that of intraoperative complications.Sex, smoking, gingival biotype, range of missing teeth, bone graft and wound rupture were associated with P0.05, maxillary sinus septum and thickness of maxillary sinus mucosa were correlated with maxillary sinus mucosal perforation (P0.05), bone insufficiency, infection,There was a correlation between early loading and early failure of implants (P 0.05).Conclusion 1.The incidence of fracture in implant surgery was the highest. 2. 2.Sex, smoking, gingival biotype, range of missing teeth, bone graft were correlated with fracture of maxillary sinus, thickness of mucosa of maxillary sinus and perforation of mucosa of maxillary sinus were correlated with the thickness of maxillary sinus mucosa.Infection, early loading and early failure of implants were associated.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R783.6

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