外科导航系统引导下口腔颌面颈部深部间隙异物取出术的临床应用研究

Clinical application of surgical navigation system guided foreign body removal from deep space of oral,maxillofacial and cervical regions

目的探究外科导航系统在口腔颌面颈部深部间隙异物取出术的临床价值。方法回顾性分析该院口腔科2014-2021年64例异物取出术患者资料,其中对照组(n=52)接受传统外科手术进行异物取出,观察组(n=12)接受外科导航系统引导下口腔颌面颈部深部间隙异物取出术。比较两组手术相关指标及并发症发生情况。结果两组男性构成比高于女性,诊断部位多见于口腔颌面部,以非金属异物为主。观察组患者异物均成功取出,对照组96.15%的患者异物成功取出。与对照组比较,观察组术中出血量和术后引流量减少,手术时间和住院时间缩短,手术切口长度减小,差异均有统计学意义(P<0.05)。观察组并发症发生率明显低于对照组(0 vs.32.69%,P<0.05)。结论使用外科导航系统引导口腔颌面颈部深部间隙异物取出术可对异物进行精准定位,有助于缩短手术时间,减小创口长度,改善患者预后。

Objective To investigate the clinical value of surgical navigation system for the foreign bodies removal from deep space of oral,maxillofacial and cervical regions.Methods The data of 64 patients with foreign body removal treated in the department of stomatology of this hospital during 2014-2021 were retrospectively analyzed,in which the control group(n=52)received the traditional surgical treatment for foreign body removal,and the observation group(n=12)received surgical navigation system guided foreign body removal from deep space of oral,maxillofacial and cervical regions.The surgery-related indexes and occurrence situation of complications were compared between the two groups.Results The constituent ratio of males in the two groups was higher than that of females,the foreign bodies were common in oral and maxillofacial regions,which was dominated by nonmetal foreign bodies.The foreign bodies in the observation group all were successfully removed,which in 96.15%of patients in the control group were successfully removed.Compared with the control group,the volumes of intraoperative blood loss and postoperative drainage in the observation group were decreased(P<0.05),the operation time and hospitalization duration were decreased,the operation incision length was shortened,and the differences were statistically significant(P<0.05).The incidence rate of complications in the observation group was significantly lower than that in the control group(0 vs.32.69%,P<0.05).Conclusion The use of surgical navigation system guidance for foreign body removal from deep space of oral,maxillofacial and cervical regions could precisely locate the position of the foreign body,help to shorten the operation time,decrease the wound length,improve the prognosis of the patients.