去皮质对骨增量影响的研究进展

doi:10.12439/kqhm.1005-4979.2025.01.001

《口腔颌面外科杂志》 ›› 2025, Vol. 35 ›› Issue (1): 1-6. doi: 10.12439/kqhm.1005-4979.2025.01.001

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去皮质对骨增量影响的研究进展

刘怡田(), 许宗和, 肖妍君, 吴东()

福建医科大学附属口腔医院种植科，福建医科大学口腔颅颌面种植研究中心，福州　 350001

收稿日期:2024-09-09 接受日期:2024-12-26 出版日期:2025-02-28 上线日期:2025-02-28
通讯作者: 吴东

作者简介:

刘怡田，硕士研究生．E-mail:1032235761@qq.com

吴东，主任医师、副教授、博士生导师。现任福建医科大学口腔颅颌面种植研究中心主任、福建医科大学口腔医学院口腔种植学教研室主任、福建医科大学附属口腔医院种植科副主任。兼任中华口腔医学会口腔种植专业委员会常务委员，福建省口腔医学会口腔种植专业委员会主任委员。从事口腔种植学相关研究和临床工作32年，近年来从事大数据相关应用研究和数字化口腔种植相关的临床与基础研究。主持和参与国家级、省部级科研项目10余项；以第一作者或通信作者发表学术论文50余篇，其中SCI收录28篇；副主编专著2部、参编专著和教材3部；获得省部级科技进步奖3项。

基金资助:
福建省自然科学基金(2021J01792); 福建医科大学启航基金(2023QH2017)

Research advances on the effect of cortical decortication on bone augumentation

LIU Yitian(), XU Zonghe, XIAO Yanjun, WU Dong()

Department of Dental Implantology, Hospital of Stomatology, Fujian Medical University, Research Center of Dental and Craniofacial Implants, Fujian Medical University, Fuzhou 350001, China

Received:2024-09-09 Accepted:2024-12-26 Published:2025-02-28 Online:2025-02-28
Contact: WU Dong

摘要/Abstract

摘要：

血管再生是骨增量成功的关键因素之一。去皮质被认为是骨增量手术过程中促进血管生成的一个重要步骤。然而，关于去皮质在骨增量过程中的作用，目前的研究结论尚未统一。本文通过文献回顾，总结了去皮质在引导骨再生术（guided bone regeneration，GBR）、块状骨移植术（block bone grafting）和骨膜牵张成骨术（periosteal distraction osteogenesis，PDO）中的研究结果，分析了去皮质影响骨再生的机制，并探讨了研究结果不一致的原因，以期为临床医生在骨增量手术时实施去皮质提供参考。

关键词: 去皮质, 血管再生, 引导骨再生, 块状骨移植, 骨膜牵张成骨

Abstract:

Angiogenesis is one of the most important factors for the success of bone augumentation. Cortical bone decortication is considered as an essential part of bone augumentation procedure to promote angiogenesis. However, the actual role of decortication in bone augumentation is controversial derived from the present studies. This article summarizes the research results of decortication on guided bone regeneration (GBR), block bone grafting and periosteal distraction osteogenesis (PDO) through literature review, and analyzes the mechanism of decortication on bone regeneration and the reasons for the inconsistency of research results, in order to provide reference for clinicians to perform decortication in the process of bone augmentation.

Key words: cortical bone decortication, vascular regeneration, guided bone regeneration, block bone grafting, periosteal distraction osteogenesis

中图分类号:

R782

刘怡田, 许宗和, 肖妍君, 吴东. 去皮质对骨增量影响的研究进展[J]. 《口腔颌面外科杂志》, 2025, 35(1): 1-6.

LIU Yitian, XU Zonghe, XIAO Yanjun, WU Dong. Research advances on the effect of cortical decortication on bone augumentation[J]. 《Journal of Oral and Maxillofacial Surgery》, 2025, 35(1): 1-6.

https://journal06.magtech.org.cn/Jweb_joms/CN/Y2025/V35/I1/1

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