华西口腔医学杂志

• 口腔种植学专栏 • 上一篇    下一篇

新型剥离器与伞形剥离器行羊上颌窦黏膜剥离对比实验

樊佳东 李岩峰 刘乐 韩奕诗 胡品 张月 包文雅   

  1. 中国人民解放军总医院第一附属医院口腔科,北京100048
  • 收稿日期:2016-04-27 修回日期:2016-07-20 出版日期:2016-10-01 发布日期:2016-10-01
  • 通讯作者: 李岩峰,副教授,博士,E-mail:m.god@yeah.net
  • 作者简介:樊佳东,住院医师,硕士,E-mail:fanjiadong359@163.com
  • 基金资助:

    中国人民解放军总医院临床扶植基金(2014FC-SXYY-10-03);首都卫生发展科研专项基金(首发2014-4-5022)

Comparative experiments of stripping sheep maxillary sinus mucosal with new-type stripper and umbrella detacher

Fan Jiadong, Li Yanfeng, Liu Le, Han Yishi, Hu Pin, Zhang Yue, Bao Wenya.   

  1. Dept. of Stomatology, The First Hospital Affiliated to The PLA General Hospital, Beijing 100048, China
  • Received:2016-04-27 Revised:2016-07-20 Online:2016-10-01 Published:2016-10-01
  • Contact: Li Yanfeng, E-mail: m.god@yeah.net.
  • Supported by:

    Clinical Support Fund of General Hospital of PLA(2014FC-SXYY-1003); Special Fund for the Development of Health Science in the Capital (2014-4-5022).

摘要:

目的 通过羊经牙槽突上颌窦底提升法,对比0.012型号、0.014型号镍钛双级上颌窦黏膜剥离器以及伞形剥离器剥离窦底黏膜的效果。方法 选择年龄1.5~2岁山羊24只,配伍组设计随机分成0.012型号组(A组)、0.014型号组(B组)、伞形剥离器组(C组),每组8只。建立动物模型,在上颌窦内提升冲顶后,3组分别向窦底的近中和远中剥离上颌窦黏膜至本器械的最大剥离限度或窦底黏膜穿孔时,测量剥离长度。结果 A组平均剥离长度为12.41 mm±4.35 mm,2例出现上颌窦黏膜穿孔。B组平均剥离长度为23.38 mm±4.84 mm,1例出现上颌窦黏膜穿孔。C组平均剥离窦底黏膜长度是2.61 mm±0.30 mm。经方差分析计算得3组剥离上颌窦黏膜总体均值不全相同(P<0.01)。各组再行SNK法比较后得出,A、B、C组剥离窦底黏膜长度的均数差异均有统计学意义(P<0.05)。结论 镍钛双级上颌窦黏膜剥离器在行上颌窦黏膜剥离能获得较大的黏膜剥离范围。0.014型号弹性及刃适中、安全,能够大面积剥离窦底黏膜。

关键词: 上颌窦, 上颌窦提升术, 镍钛双级上颌窦黏膜剥离器

Abstract:

Objective  To compare the stripping length obtained through the model of 0.012 and 0.014 of the nickel-titanium dual-stage maxillary sinus mucosa stripper, and the umbrella detacher. Methods  Twenty-four goats (1.5-2 years old) were chosen, randomly divided into A, B, C groups, each group of eight. Group A was 0.012 model group, group B was 0.014 model group, group C was umbrella detacher group. Animal model was established, and maxillary sinus mucosa was stripped to the left and right sides of the bottom of the sinus in three groups. The data was measured when stripping to the limit or being perforated. Results  The average length of group A was 12.41 mm±4.35 mm, two cases perforated. The average length of group B was 23.38 mm±4.84 mm, one case perforated. The average length of group C was 2.61 mm±0.30 mm. The population mean of stripping length in three groups was not all the same calculated by analysis of variance (P<0.01). There were significant differences in the stripping length of the three groups by the SNK test (P<0.05). Conclusion  The nickel-titanium dualstage maxillary sinus mucosa stripper can achieve a larger mucosal stripping range. The stripper with a model of 0.014 has a moderate flexibility and safety, and it can strip a large area of sinus mucosa.

Key words: maxillary sinus, sinus floor elevation, nickel-titanium dual-stage maxillary sinus mucosa stripper