口腔颌面修复学杂志2024，Vol.25Issue(4) ：259-263,304.DOI:10.19748/j.cn.kqxf.1009-3761.2024.4.004

基于3D-Slicer上颌骨自体骨移植供骨量及其相关因素分析

A study on the potential donor sites and related factors of maxilla for autogenous bone grafting based on 3D-Slicer

毛丽莎 袁鼎翔 邹婷婷 王学玖
口腔颌面修复学杂志2024，Vol.25Issue(4) ：259-263,304.DOI:10.19748/j.cn.kqxf.1009-3761.2024.4.004
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  • 维普
  • 万方数据

基于3D-Slicer上颌骨自体骨移植供骨量及其相关因素分析

A study on the potential donor sites and related factors of maxilla for autogenous bone grafting based on 3D-Slicer

毛丽莎 1袁鼎翔 1邹婷婷 1王学玖2
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作者信息

  • 1. 首都医科大学附属北京口腔医院口腔显微诊疗中心 北京100162
  • 2. 首都医科大学附属北京口腔医院口腔颌面整形创伤外科 北京 100050
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摘要

目的:通过3D-Slicer软件三维重建并测量上颌骨前鼻棘、硬腭、上颌结节等区域潜在取骨量及骨密度,为上颌骨作为自体骨移植潜在取骨位点的临床应用提供参考.方法:应用3D-Slicer软件对129例颅颌面CBCT数据进行三维重建,测量前鼻棘、硬腭、上颌结节的潜在取骨量、骨密度.对其在不同性别、年龄人群中的特点进行分析比较.结果:1.硬腭区域可取骨量最大(1512.31±71.93 mm3),前鼻棘区可取骨量最小(444.74±17.49 mm3).前鼻棘取骨区域的骨密度最高(HU:601.28±7.76),上颌结节取骨区域的骨密度最低(HU:259.84±5.44).2.男性前鼻棘、硬腭、上颌结节区域的潜在取骨体积均大于女性.3.中老年组(≥40岁)在前鼻棘区域的潜在取骨体积大于青年组(＜40岁).结论:前鼻棘、硬腭、上颌结节可分别作为颌骨小型、中型骨缺损的口内自体骨移植取骨位点.

Abstract

Objective:The aim of this research was to use 3D-Slicer software to reconstruct and analyze the bone volume and density available in the anterior nasal spine,hard palate,and maxillary tuberosity in order to investigate the potential of maxilla as a source of autologous bone grafts.Methods:129 CBCT scans were reconstructed and evaluated by 3D-Slicer software,to analyze potential available bone volume and density of the bone in the anterior nasal spine,hard palate,and maxillary tuberosity.Correlations of those parameters with gender and age were analyzed.Results:1.The maximal bone volume which could be obtained from the palate was 1512.31±71.93 mm3,while that from the anterior nasal spine was 444.74±17.49 mm3.The bone density in the anterior nasal spine is highest(HU:601.28±7.76),while the bone density in the maxillary tuberosity is lowest(HU:259.84±5.44).2.The potential bone volume in anterior nasal spine,palate,and maxillary tuberosity in male was greater than that in female.3.The potential bone volume in the anterior nasal spine of the middle-aged and elderly group(≥ 40 years old)is greater than that of the young group(＜40 years old).Conclusion:Anterior nasal spine,hard palate,and maxillary tuberosity can be used as intraoral autologous donor sites for small and medium-size bone defects.

关键词

3D-Slicer/骨增量/自体骨移植/上颌骨

Key words

3D-Slicer/bone graft/autologous bone grafts/maxilla

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出版年

2024
口腔颌面修复学杂志
首都医科大学附属北京口腔医院 解放军总医院

口腔颌面修复学杂志

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影响因子：0.893
ISSN：1009-3761
参考文献量2
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