{"id":3193,"date":"2019-06-10T14:55:55","date_gmt":"2019-06-10T06:55:55","guid":{"rendered":"https:\/\/www.cerecdigest.net\/?p=3193"},"modified":"2019-06-10T14:56:22","modified_gmt":"2019-06-10T06:56:22","slug":"dynamic-navigation-in-implant-surgery","status":"publish","type":"post","link":"https:\/\/www.cerecdigest.net\/2019\/06\/10\/dynamic-navigation-in-implant-surgery\/","title":{"rendered":"Dynamic Navigation In Implant Surgery"},"content":{"rendered":"\n

\u8fd1\u4e09\u5341\u5e74\u4f86\uff0c\u79d1\u6280\u5927\u5927\u6539\u8b8a\u4e86\u6211\u5011\u7684\u751f\u6d3b\u65b9\u5f0f\uff0c\u5f9e\u8a08\u7b97\u6a5f\u5230\u667a\u6167\u578b\u624b\u6a5f\uff0c\u5f9e\u55ae\u4e00\u7528\u9014\u5230\u591a\u7528\u8a2d\u5099\uff0c\u79d1\u6280\u5df2\u7136\u6210\u70ba\u6211\u5011\u65e5\u5e38\u751f\u6d3b\u7684\u4e00\u90e8\u5206\u3002\u624b\u8853\u5c0e\u822a(Navigation)\u662f\u73fe\u5728\u61c9\u7528\u65bc\u91ab\u5b78\u6280\u8853\u5f88\u91cd\u8981\u7684\u4f8b\u5b50\uff0c\u56e0\u70ba\u5b83\u4ee4\u5916\u79d1\u624b\u8853\u8b8a\u6210\u66f4\u5b89\u5168\u800c\u4e14\u4fb5\u5165\u6027\u5c0f\u7684\u624b\u8853\u3002<\/p>\n\n\n\n

\u4e8b\u5be6\u4e0a\u5c0e\u822a\u624b\u8853\u4e4b\u6240\u4ee5\u6703\u767c\u5c55\u7684\u539f\u56e0\u6709\u4e09:<\/p>\n\n\n\n

1. \u795e\u7d93\u5916\u79d1(Neurosugery): <\/strong><\/h3>\n\n\n\n

\u795e\u7d93\u5916\u79d1\u7684\u6574\u500b\u6b77\u53f2\u5c31\u662f\u76e1\u53ef\u80fd\u5fae\u5275\u5730\u9032\u884c\u624b\u8853\uff0c\u7531\u65bc\u8166\u795e\u7d93\u548c\u8840\u7ba1\u5728\u982d\u9871\u88e1\u76e1\u53ef\u80fd\u5730\u64e0\u5728\u72f9\u5c0f\u7684\u7a7a\u9593\u88e1\uff0c\u56e0\u6b64\u624b\u8853\u98a8\u96aa\u76f8\u7576\u9ad8\uff0c\u800c\u4e14\u8166\u795e\u7d93\u5e38\u7f3a\u4e4f\u89e3\u5256\u5b78\u6a19\u754c\uff0c\u56e0\u6b64\u5c0e\u822a\u662f\u5177\u6709\u6e1b\u8f15\u624b\u8853\u98a8\u96aa\u548c\u589e\u52a0\u624b\u8853\u6210\u529f\u7387\u7684\u79d1\u6280\uff0c\u5c0e\u822a\u624b\u8853\u4e5f\u662f\u5f9e\u795e\u7d93\u5916\u79d1\u958b\u5275\u7684\u5148\u4f8b\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

2. \u7acb\u9ad4\u5b9a\u4f4d\u8853\u624b\u8853(Stereotaxy): <\/strong><\/h3>\n\n\n\n
\"\"<\/figure>\n\n\n\n

\u539f\u88e1\u662f\u5229\u7528\u982d\u67b6\u5c07\u982d\u56fa\u5b9a\uff0c\u914d\u5408CT\u6216MRI\u7684\u7acb\u9ad4\u5f71\u50cf\uff0c\u5c07\u78ba\u5be6\u4f4d\u7f6e\u548c\u5f71\u50cf\u505a\u7d50\u5408\uff0c\u4e26\u7cbe\u5bc6\u7684\u9032\u884c\u624b\u8853\u3002<\/p>\n\n\n\n

3. \u91ab\u5b78\u5f71\u50cf(Medical Imaging):<\/strong><\/h3>\n\n\n\n
\"\"<\/figure>\n\n\n\n

\u81ea\u5f9eHounsfield\u57281970s \u63a8\u51fa\u4e86\u7b2c\u4e00\u53f0CT\u6210\u50cf\u8a2d\u5099\uff0c\u7531\u65bc\u5b83\u5141\u8a313D\u5b9a\u4f4d\uff0c\u5f9e\u6b64\u7acb\u9ad4\u5b9a\u4f4d\u624b\u8853\u958b\u59cb\u7206\u70b8\u6027\u7684\u98db\u8e8d\u3002<\/p>\n\n\n\n

\u690d\u7259\u5c0e\u822a\u7684\u767c\u5c55<\/h2>\n\n\n\n

\u6839\u64da\u4ee5\u4e0a\u4e09\u9805\u79d1\u6280\u7684\u767c\u5c55\uff0c\u690d\u7259\u5c0e\u822a\u624b\u8853 (Dynamic Navigation implant surgery) \u4e5f\u5728\u540c\u6642\u840c\u82bd<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u690d\u7259\u5c0e\u822a\u662f\u300c\u53ca\u6642\u7684\u300dcomputer guide system\uff0c\u5229\u7528 CBCT \u548c\u904b\u52d5\u8ffd\u8e64\u6280\u8853\uff0c\u5c07\u947d\u91dd\u548c\u75c5\u60a3\u7684\u4f4d\u7f6e\u9032\u884c\u53ca\u6642\u7684\u904b\u7b97\u3002<\/p>\n\n\n\n

\u900f\u904eCBCT\u5f71\u50cf\u548c\u5c0e\u822a\u8edf\u9ad4\uff0c\u690d\u7259\u91ab\u5e2b\u53ef\u4ee5\u898f\u756b\u6700\u7d42\u8d0b\u5fa9\u9ad4\u5916\u578b(Prosthetic restoration) \uff0c\u9aa8\u982d\u6700\u4f73\u4f4d\u7f6e\uff0c\u548c\u89e3\u5256\u6a19\u754c(anatomic landmark)\uff0c\u6c7a\u5b9a\u690d\u7259\u9ad4\u7684\u89d2\u5ea6\u548c\u4f4d\u7f6e\u3002\u63a5\u8457\u5229\u7528\u50b3\u611f\u5668(sensor)\u5b9a\u4f4d\u5728\u690d\u7259\u624b\u6a5f\u8ddf\u75c5\u60a3\u53e3\u8154\u50b3\u90013D\u4f4d\u7f6e\u81f3\u651d\u5f71\u93e1\u982d\u6216\u662f\u63a5\u6536\u5668(detector)\u3002\u9023\u7e8c\u6027\u5730\u767c\u51fa\u8a0a\u606f\u5230\u904b\u7b97\u96fb\u8166\uff0c\u5c31\u53ef\u4ee5\u5f97\u5230\u4e00\u500b\u53ca\u6642\u7684\u75c5\u60a3\u548c\u624b\u6a5f\u7684\u4f4d\u7f6e\u5b9a\u4f4d\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u90a3\u690d\u7259\u5c0e\u822a\u70ba\u4f55\u4e0d\u666e\u53ca? \u4e3b\u8981\u539f\u56e0\u662f\u5b83\u7684\u50f9\u683c\u548c\u8a2d\u5099\uff0c\u5728\u65e9\u5e74\u7684\u5c0e\u822a\u8a2d\u5099\uff0c\u5149\u662f\u651d\u5f71\u93e1\u982d\u548c\u904b\u7b97\u96fb\u8166\u5c31\u975e\u5e38\u5927\u4e00\u53f0\uff0c\u53e6\u5916\u5b9a\u4f4d\u88dd\u7f6e\u4e5f\u5145\u6eff\u7b28\u91cd\u548c\u5e72\u64fe\uff0c\u4e26\u4e14\u624b\u8853\u5c0e\u7248\u7684\u65b9\u4fbf\u6027\u548c\u4f4e\u50f9\u6027\u4f7f\u5f97\u690d\u7259\u5c0e\u822a\u5728\u4e16\u754c\u4e0a\u4e26\u4e0d\u666e\u904d\u3002\u4f46\u76ee\u524d\u5ee0\u5546\u81f4\u529b\u65bc\u5c07\u8a2d\u5099\u7684\u9ad4\u7a4d\u7e2e\u5c0f\uff0c\u8f15\u91cf\u5316\uff0c\u4ee5\u53ca\u63d0\u5347\u6027\u50f9\u6bd4\uff0c\u4e5f\u8a31\u672a\u4f86\u53ef\u4ee5\u63d0\u5347\u690d\u7259\u5c0e\u822a\u7684\u8cfc\u8cb7\u529b\u3002<\/p>\n\n\n\n

\u5e02\u9762\u4e0a\u690d\u7259\u5c0e\u822a\u5ee0\u5546\u7c21\u4ecb<\/h2>\n\n\n\n

\u6211\u5728IDS\u6240\u898b\u5230\u7684\u690d\u7259\u5c0e\u822a\u5ee0\u5546\u6709\u4e09\uff0c\u5728\u9019\u908a\u4e00\u4e00\u505a\u4ecb\u7d39\u3002<\/p>\n\n\n\n
\u5ee0\u5546\u540d\u7a31 <\/strong><\/td> \u7522\u54c1\u59d3\u540d <\/strong><\/td> \u54c1\u724c\u570b\u5bb6 <\/strong><\/td><\/tr>
\n X-Nav technologies\n <\/td>\n X-Guide Dynamic\n 3D Navigation\n <\/td>\n USA\n <\/td><\/tr>
\n Image Navigation\n <\/td>\n DenX image-Guided\n implantology\n <\/td>\n Isreal\n <\/td><\/tr>
\n ClaroNav\n <\/td>\n Navident\n <\/td>\n Canada\n <\/td><\/tr><\/tbody><\/table>\n\n\n\n

X-Guide Dynamic 3D Navigation (X-Nav technologies, USA)<\/strong><\/h3>\n\n\n\n

\u8981\u9032\u884c\u690d\u7259\u5c0e\u822a\u5fc5\u9808\u8981\u6709\u4ee5\u4e0b\u88dd\u7f6e:<\/p>\n\n\n\n

  1. \u5c0e\u822a\u8eca\uff0c\u5305\u542b\u904b\u7b97\u7684\u96fb\u8166\u53ca\u8edf\u9ad4\u548c\u651d\u5f71\u93e1\u982d\u3002<\/li>
  2. \u624b\u6a5f\u9644\u9023\u88dd\u7f6e(handpiece attachment)\u3002<\/li>
  3. \u75c5\u60a3\u9644\u9023\u88dd\u7f6e(jaw attachment)\u3002<\/li><\/ol>\n\n\n\n

    X-guide \u7684\u904b\u7b97\u8edf\u9ad4\u53ef\u4ee5\u4f7f\u7528Dicom\u6a94\uff0c\u610f\u5473\u8457\u6240\u6709\u7684CBCT\u5ee0\u5546\u5e7e\u4e4e\u90fd\u53ef\u4ee5\u7528\uff0c\u5c0e\u822a\u8edf\u9ad4\u53ef\u4ee5\u7d50\u5408\u53e3\u6383\u6a94\u5c07\u6578\u4f4d\u6a21\u578b\u8f38\u5165\uff0c\u7d50\u5408CBCT\u5f8c\uff0c\u672a\u4f86\u690d\u7259\u8d0b\u5fa9\u7269\u7684\u578b\u614b\u5373\u5728\u5f71\u50cf\u4e0a\uff0c\u63a5\u8457\u64fa\u653e\u7406\u60f3\u690d\u7259\u7684\u4f4d\u7f6e\uff0c\u5c0e\u822a\u8eca\u7684\u651d\u5f71\u93e1\u982d\u5229\u7528\u5373\u6642\u904b\u7b97\u5c07\u947d\u91dd\u7684\u4f4d\u7f6e\u548cCBCT\u505a\u5373\u6642\u7684\u5b9a\u4f4d\uff0cX-guide \u4f7f\u7528\u5c08\u5229 X-point technology \uff0c\u8b93\u947d\u91dd\u7684\u5b9a\u4f4d\u66f4\u52a0\u7c21\u55ae\u3002<\/p>\n\n\n\n

    \n