@Article{info:doi/10.2196/42040，作者=“Mai, hanga - nga and Dam, Van Viet and Lee, Du-Hyeong”，标题=“增强现实的准确性——辅助导航在牙科种植手术中的应用:系统评价和meta分析”，期刊=“J Med Internet Res”，年=“2023”，月=“Jan”，日=“4”，量=“25”，页=“e42040”，关键词=“增强现实”;准确;这种手术;牙科植入物;系统评价;背景:沉浸式3D增强现实(AR)手术导航的新概念最近在医学领域被引入。这种方法允许外科医生直接关注手术目标，而不必看单独的监视器。在牙科领域，最近开发的AR辅助种植体导航系统(AR navigation)引起了人们的极大兴趣，该系统使用创新的图像技术直接可视化和跟踪实际手术部位的术前计划。目的:本研究是第一个系统回顾和荟萃分析研究，旨在评估AR导航种植体放置的准确性，并将其与广泛使用的种植体放置方法进行比较，包括徒手法(FH)、基于模板的静态引导(TG)和传统导航(CN)。方法:在PubMed (MEDLINE)、Scopus、ScienceDirect、Cochrane Library和Google Scholar中使用个性化搜索策略搜索2022年3月21日之前发表的文章。 This study was performed in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and registered in the International Prospective Register of Systematic Reviews (PROSPERO) database. Peer-reviewed journal articles evaluating the positional deviations of dental implants placed using AR-assisted implant navigation systems were included. Cohen d statistical power analysis was used to investigate the effect size estimate and CIs of standardized mean differences (SMDs) between data sets. Results: Among the 425 articles retrieved, 15 articles were considered eligible for narrative review, 8 articles were considered for single-arm meta-analysis, and 4 were included in a 2-arm meta-analysis. The mean lateral, global, depth, and angular deviations of the dental implant placed using AR navigation were 0.90 (95{\%} CI 0.78-1.02) mm, 1.18 (95{\%} CI 0.95-1.41) mm, 0.78 (95{\%} CI 0.48-1.08) mm, and 3.96{\textdegree} (95{\%} CI 3.45{\textdegree}-4.48{\textdegree}), respectively. The accuracy of AR navigation was significantly higher than that of the FH method (SMD=−1.01; 95{\%} CI −1.47 to −0.55; P<.001) and CN method (SMD=−0.46; 95{\%} CI −0.64 to −0.29; P<.001). However, the accuracies of the AR navigation and TG methods were similar (SMD=0.06; 95{\%} CI −0.62 to 0.74; P=.73). Conclusions: The positional deviations of AR-navigated implant placements were within the safety zone, suggesting clinically acceptable accuracy of the AR navigation method. Moreover, the accuracy of AR implant navigation was comparable with that of the highly recommended dental implant--guided surgery method, TG, and superior to that of the conventional FH and CN methods. This review highlights the possibility of using AR navigation as an effective and accurate immersive surgical guide for dental implant placement. ", issn="1438-8871", doi="10.2196/42040", url="//www.mybigtv.com/2023/1/e42040", url="https://doi.org/10.2196/42040", url="http://www.ncbi.nlm.nih.gov/pubmed/36598798" }