个性化植入体在正颌外科的临床应用研究
Research on Clinical Application of Patient-Specific Implants in Orthognathic Surgery
DOI: 10.12677/jcpm.2025.42226, PDF,    国家自然科学基金支持
作者: 周文艺, 王 涛*：口腔疾病与生物医学重庆市重点实验室，重庆市高校市级口腔生物医学工程重点实验室，重庆医科大学附属口腔医院颌面外一科，重庆
关键词: 正颌外科；3D打印；个性化植入体；数字化；Orthognathic Surgery； 3D Printing； Patient-Specific Implant； Digitalization
摘要: 近年来，通过截骨后按照术前设计进行牙–颌骨复合体的复位与固定的正颌外科手术已经成为治疗颅颌面畸形的重要办法。要实现正颌手术通常需要进行术前设计、术中转移、术后评估等一系列步骤。传统的术中转移依赖于咬合导板的使用，但此种方法存在误差较大、耗时耗力等缺陷。随着计算机辅助下(CAD/CAM)的3D打印技术、激光切割塑形技术以及各种虚拟手术规划软件(VSP)的迅猛发展，目前已有研究表明使用个性化植入体(PSI)有望实现从术前虚拟设计到术中的精准转移。本文就个性化植入体(PSI)在正颌外科临床应用的研究进展做一综述，以期为临床实践提供相应参考。
Abstract: In recent years, orthognathic surgery by osteotomy followed by repositioning and fixation of the tooth-mandibular complex according to the preoperative design has become an important approach to the treatment of craniomaxillofacial deformities. A series of steps such as preoperative design, intraoperative transfer, and postoperative evaluation are usually required to realize orthognathic surgery. Traditional intraoperative transfer relies on the use of occlusal plates, but this method suffers from large errors, time-consuming and labor-intensive drawbacks. With the rapid development of computer-aided 3D printing technology (CAD/CAM), laser cutting & shaping technology and various virtual surgical planning software (VSP), it has been shown that the use of Patient-Specific Implants (PSIs) is expected to achieve accurate transfer from preoperative virtual design to intraoperative transfer. In this paper, we present a review of the research progress on the application of PSI in orthognathic surgery, with a view to providing corresponding references for clinical practice.
文章引用：周文艺, 王涛. 个性化植入体在正颌外科的临床应用研究[J]. 临床个性化医学, 2025, 4(2): 644-650. https://doi.org/10.12677/jcpm.2025.42226

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