首页|富血小板纤维蛋白联合骨填充材料在上颌窦底提升术中的应用效果

富血小板纤维蛋白联合骨填充材料在上颌窦底提升术中的应用效果

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目的:观察富血小板纤维蛋白(PRF)联合骨填充材料在上颌窦底提升术中的应用效果.方法:选取2021年3月至2023年3月于该院行上颌窦底提升术的110例患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各55例.对照组采用骨填充材料植入,观察组在对照组基础上联合PRF植入.比较两组术后疼痛[视觉模拟评分法(VAS)]评分、种植体稳定系数(ISQ)值、新生骨高度,并发症发生率以及种植体存留率.结果:术后 12、24 h,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05);术后 3、6 个月,观察组ISQ值均高于对照组,差异有统计学意义(P<0.05);术后 6 个月,观察组近中、远中新生骨高度均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为 1.82%(1/55),低于对照组的 16.36%(9/55),差异有统计学意义(P<0.05);两组种植体存留率比较,差异无统计学意义(P>0.05).结论:PRF联合骨填充材料应用于上颌窦底提升术患者可降低术后疼痛评分和并发症发生率,提高术后ISQ值和新生骨高度,效果优于单用骨填充材料.
Application effects of platelet-rich fibrin combined with bone filling material in maxillary sinus lifting
Objective:To observe application effects of platelet-rich fibrin(PRF)combined with bone filling materials in maxillary sinus lifting.Methods:A prospective study was conducted on 110 patients who underwent maxillary sinus lifting in this hospital from March 2021 to March 2023.According to the random number table method,they were divided into control group and observation group,55 cases in each group.The control group was implanted with bone filling materials,while the observation group was combined with PRF implantation on the basis of that of the control group.The postoperative pain[visual analogue scale(VAS)]score,the implant stability coefficient(ISQ)value,the new bone height,the incidence of complications,and the implant retention rate were compared between the two groups.Results:12 and 24 hours after the surgery,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).3 and 6 months after the surgery,the ISQ values of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).6 months after the surgery,the height of proximal and distal new bone in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 1.82%(1/55),which was lower than 16.36%(9/55)in the control group,and the difference was statistically significant(P<0.05).However,there was no significant difference in implant survival rate between the two groups(P>0.05).Conclusions:PRF combined with bone filling materials in maxillary sinus lifting can reduce the postoperative pain scores and the incidence of complications,and improve the postoperative ISQ value and the new bone height.Moreover,it is superior to simple bone filling material.

Platelet-rich fibrinBone filling materialMaxillary sinus liftingPainImplant stability coefficientNew bone height

刘燕、原辉婷、谷艳景、刘洋

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郑州植得口腔医院口腔种植科,河南 郑州 450000

富血小板纤维蛋白 骨填充材料 上颌窦底提升术 疼痛 种植体稳定系数 新生骨高度

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(14)
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