中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (6): 345-348.DOI: 10.12337/zgkqzzxzz.2021.12.002

• 指南与共识 • 上一篇    下一篇

上颌窦底提升并发症的专家共识:出血(第一版)

中华口腔医学会口腔种植专业委员会   

  • 收稿日期:2021-08-12 发布日期:2022-01-07
  • 通讯作者: 柳忠豪,滨州医学院附属烟台口腔医院口腔种植科 264000,Email: dentlzh@163.com,电话:0535-6215913;宿玉成,中国医学科学院北京协和医院口腔种植中心100032,Email: yuchengsu@163.com,电话:010-66212299

Expert consensus on complications of sinus floor elevation: bleeding (first edition)

Chinese Society of Oral Implantology   

  • Received:2021-08-12 Published:2022-01-07
  • Contact: Liu Zhonghao, Department of Implant Dentistry, Yantai Stomatological Hospital Affiliated to Binzhou Medical University, Yantai 264000, China, Email: dentlzh@163.com, Tel: 0086-535-6215913; Su Yucheng, Dental Implant Center, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100033, China, Email: yuchengsu@163.com, Tel: 0086-10-66212299

摘要: 上颌窦底提升中,术后出血是上颌窦底提升的常见并发症,常导致术中视野不清、上颌窦黏骨膜意外穿孔、甚至患者生命体征变化等,对上颌窦底提升出血并发症的认识至关重要。依据国内部分专家的临床经验,结合国际同行治疗经验,本文概述了上颌窦底提升出血的发病因素、走行于上颌窦区的血管解剖位置及分布特点、出血的临床表现和处理措施以及预防措施,并提出共识观点,以期为上颌窦底提升的临床规范化与标准化提供参考依据。

关键词: 上颌窦底提升, 上颌窦出血, 牙槽上颌窦动脉, 专家共识

Abstract: Maxillary sinus bleeding is common during and after sinus floor elevation, which may cause unclear visual field, accidental perforation of sinus mucosa, or even changes of vital signs. It’s important to have a clear understanding of this kind of complication. Based on the clinical experiences of some national experts, and combined with the references of international expertise, this article summarized the pathogenesis of maxillary sinus floor elevation hemorrhage, the anatomy of the alveolar antral artery, the clinical manifestations and treatment, and the precautions. An expert consensus was reached to provide criteria and references for sinus floor elevation.

Key words: Sinus floor elevation, Maxillary sinus bleeding, Alveolar antral artery, Expert consensus