Please wait a minute...
 
 首页  期刊介绍 编委会 投稿指南 征稿简则 期刊征订 广告服务 留言板 联系我们 English
解放军预防医学杂志  2016, Vol. 34 Issue (2): 165-168    
  研究论著 本期目录 | 过刊浏览 | 高级检索 |
锥形束CT扫描研究不同矢状骨面型成人上气道形态及舌骨的差异
郑颖,蔡兴伟*①,王亚锋,杨永进,李涛
锦州医科大学中国人民解放军火箭军总医院研究生培养基地, 北京 100088
Difference of the Upper Airway Morphology and Hyoid Position among Adults with Sagittal Skeletal Malocclusions by CBCT Analysis
ZHENG Ying, CAI Xingwei, WANG Yafeng, YANG Yongjin, LI Tao
The Teaching Unit at Rocket Force General Hospital of PLA of Jinzhou Medical University, Beijing 100088, China
全文: PDF(1310 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的 研究不同矢状骨面型成人上气道形态及舌骨位置的差异,探讨三类骨面型的气道形态特征及具体的量化值,用以指导错颌畸形及气道疾病的治疗。方法 选取Ⅰ、Ⅱ、Ⅲ类骨面型患者各30例进行CBCT(Cone beam computed tomography,锥形束CT)扫描,借助Invivo Dental 5 图像分析软件进行三维重建,分别测量硬腭平面至会厌谷底段上气道横径、矢状径、横截面积、气道长度、高度、容积等,及测量与舌骨位置相关的项目,并对结果进行统计分析。结果 Ⅱ类骨面型的气道总高度、长度分别为(65.83±7.24)mm、(69.19±7.57)mm,明显大于Ⅰ类﹝(61.91±7.40)mm、(65.15±6.90)mm,P均<0.05﹞及Ⅲ类﹝(57.75±6.85)mm、(60.14±5.88)mm,P均<0.01﹞;Ⅱ类骨面型的气道总容积、最小截面面积分别为(15.07±2.29)ml、(171.33±42.67)mm2,明显小于Ⅰ类﹝(16.53±1.78)ml、(223.83±61.73)mm2,P均<0.05﹞及Ⅲ类﹝(25.55±2.89)ml、(300.45±64.99)mm2,P均<0.01﹞;三种骨面型之间的舌骨位置评价参数Hy-C3Me、Hy-MP均存在显著性差异(P<0.01)。结论 不同矢状骨面型成人上气道形态及舌骨位置之间存在显著性差异,舌骨位置随着下颌骨远中向的移动而向后下移动,气道形态随之改变。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
关键词 上气道锥形束CT骨面型舌骨    
Abstract:Objective To investigate the difference of the upper airway morphology and hyoid position among different sagittal skeletal patterns, so as to guide the treatment of micromaxillary deformity and airway disease.Methods Class Ⅰ, Ⅱ, Ⅲ patients with sagittal skeletal malocclusions (30 cases in each) were selected , scaned by CBCT, and Invivo Dental 5 software was used for three dimensional reconstruction. The anteroposterior and lateral dimensions, the cross-sectional areas, length, volume, height of airway and the position of hyoid were measured.Results The total height and length of airway ﹝ (65.83± 7.24) mm, (69.19±7.57) mm respectively﹞in class Ⅱ were greater than those﹝(61.91±7.40)mm,(65.15±6.90)mm respectively﹞in class Ⅰ(P<0.05) and those﹝(57.75±6.85)mm,(60.14±5.88)mm respectively﹞in class Ⅲ(P<0.01). The total volume and minimum sectional area of airway were (15.07±2.29)ml, and (171.33±42.67)mm2 respectively﹞in class Ⅱ, and significantly smaller than than those in class Ⅰ﹝(16.53±1.78)ml,(223.83±61.73)mm2 respectively﹞(P<0.05)and Ⅲ﹝(25.55±2.89)ml,(300.45±64.99)mm2 respectively﹞(P<0.01). At the same time the Hy-C3Me and Hy-MP had significant differences among class Ⅰ, Ⅱ and Ⅲ groups(P<0.01).Conclusion Differences of upper airway morphology and hyoid position are statistically significant among adults with different sagittal bones types. Hyoid position moves backward with the movement of mandibular far to next, then airway morphology changes.
Key wordsupper airway    CBCT    skeletal pattern    hyoid
     出版日期: 2016-09-01
通讯作者: Email:xweicai@163.com   
引用本文:   
郑颖,蔡兴伟,王亚锋,杨永进,李涛. 锥形束CT扫描研究不同矢状骨面型成人上气道形态及舌骨的差异[J]. 解放军预防医学杂志, 2016, 34(2): 165-168.
ZHENG Ying, CAI Xingwei, WANG Yafeng, YANG Yongjin, LI Tao. Difference of the Upper Airway Morphology and Hyoid Position among Adults with Sagittal Skeletal Malocclusions by CBCT Analysis. Journal of Preventive Medicine of Chinese People's Liberation Army, 2016, 34(2): 165-168.
链接本文:  
http://manu37.magtech.com.cn/Jwk_jsyxkx/jfj/CN/      或      http://manu37.magtech.com.cn/Jwk_jsyxkx/jfj/CN/Y2016/V34/I2/165
〔1〕 RYAN A, STREIGHT.CBCT analysis of the pharynx:effects of age and sex〔D〕.The state of Michigan Ann Arbor city: ProQuest LLC ,2011.
〔2〕 傅民魁.口腔正畸学〔M〕.人民卫生出版社,2010:317.
〔3〕 PRESTON C B, LAMPASSO J D, TOBIAS P V.Cephalometric evaluation and measurement of the upper airway〔J〕.Sem Orthod, 2014,10(3):3.
〔4〕 王雷.成人骨性Ⅲ类错牙合患者双颌手术后鼻咽及口咽部气道及其周围软硬组织的变化〔D〕.第四军医大学,2012.
〔5〕 ABRAMSON Z,SUSARLA S,AUGUST M,et al.Three-dimensional computed tomographic analysis of airway anatomy in patients with obstructive sleep apnea 〔J〕.J Oral Maxillofac Surg,2010,68:354.
〔6〕 Abu A E,Al-Khateeb S N.Uvulo-glosso-pharyngeal dimensions in different anteropostrior skeletal patterns〔J〕.Angle Orthod,2005,75(6):1012
〔7〕 王艳,李均,陈兆学等。CBCT在口腔三维成像中的应用研究〔J〕.中国医学物理学杂志,2013,30(2):4008.
〔8〕 牛茜楠,冯雪.CBCT在口腔正畸领域的应用〔J〕.现代生物医学进展,2012,12(29):5798.
〔9〕 ACHILLEOS S,KROGSTAD O,LYBERG T.Surgicalmandibularadvancement and changes in uvuloglossopharyngeal morphology and head poture:a short-and long-term cephalometricstudy in males〔J〕.Eur J Orthod,2010,22(4):367.
〔10〕 管增娥,姜稳妮,杨永国,等.口腔矫治器治疗OSAHS合并高血压的临床疗效〔J〕.实用口腔医学杂志,2014,30(4):568.
〔11〕 钮燕,白忠,杨晓红,等.阻塞性睡眠呼吸暂停低通所综合征患者上气道极速CT测量〔J〕.临床耳鼻咽喉头颈外科杂志,201428(3):143.
〔12〕 王天虎,李永明,杨芳,等.成人骨性Ⅱ类上气道与颅颌面关系初探〔J〕.现代生物医学进展,2013,13(15):2901.
〔13〕 Tampakaki,A P,Fadouloglou V E,Gazi A D,et al.Conserved features of type III secretion〔J〕.Cell Microbiol,2004,6(9):805.
〔14〕 DEGERLIYURT K, UEKI K, HASHIBA Y,et al.The effect of mandibular setback or two-jaws surgery on pharyngeal airway among different genders〔J〕.Int J Oral Maxillofac Surg, 2009,38(6):647.
〔15〕 曾祥龙,唐志慧.矢状骨面型与上气道形态和舌骨位置关系的研究〔J〕.现代口腔医学杂志,2004,18(3):231.
No related articles found!
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
版权所有 © 2015 《解放军预防医学杂志》编辑部
地址:天津市和平区大理道1号,邮编:300050  电话:022-84655185  E-mail:JYYX@chinajournal.net.cn
本系统由北京玛格泰克科技发展有限公司设计开发 技术支持:support@magtech.com.cn