›› 2017, Vol. 37 ›› Issue (12): 1090-1094.

• 临床研究 • 上一篇    下一篇

偏颌畸形患者颅颌面部组织不对称CBCT研究

张烁1,孙婷婷1,赵红艳2,唐林2   

  1. 1. 哈尔滨医科大学附属口腔医院
    2. 黑龙江省哈尔滨市哈尔滨医科大学附属口腔医院
  • 收稿日期:2017-04-07 修回日期:2017-06-09 出版日期:2017-12-28 发布日期:2017-12-28
  • 通讯作者: 张烁 E-mail:594608225@qq.com

Evaluation of facial asymmetry using cone-beam computed tomography

  • Received:2017-04-07 Revised:2017-06-09 Online:2017-12-28 Published:2017-12-28
  • Contact: Shuo ZHANG E-mail:594608225@qq.com

摘要: 目的 应用CBCT评估偏颌畸形患者颅颌面部软硬组织不对称 的特征。 方法 选取 30例偏颌畸形患者(软组织颏部偏离中线4mm以上、平均年龄19.5岁)和 30 例面部基本对称的患者(软组织颏部偏离中线2mm以内,平均年龄19.9岁)的 CBCT 原始数据,分别设为实验组和对照组。导入到Mimics 17.0软件程序,进行三维重建。通过在3个维度进行线性距离、角度、体积和表面积的测量,评估和比较组间、组内的差异。结果 偏颌畸形患者的左右侧线性、角度、体积、表面积测量等存在统计学差异(P< 0.05)。在实验组中,偏差侧和非偏差侧Z-Ag、ZA-Goinf、J-FML、J-N、Golat-Me、Co-Goinf、Gopost-FML、Golat-FML、Gopost-Me、Co-Me、P-N、 MOP 、 MBP和Golat-Me有统计学差异。对照组两侧的J-FML、J-N 、Golat-FML 有统计学意义。实验组中两侧下颌骨的体积和表面积测量有统计学差异。 结论 面部不对称主要发生在下颌骨,特别是下颌角区表现明显。利用CBCT精确量化偏颌畸形患者面部软硬组织不对称的结构特征,对于诊断和治疗至关重要。

关键词: [关键词] CBCT, 错颌, 不对称, 软硬组织

Abstract: Objective  The purposes of this study were to evaluate facial asymmetry 3 dimensionally using cone beam computed tomography (CBCT) . Methods  The CBCT datas of 30 malocclusion pattern with asymmetry (soft tissue menton deviation more than 4 mm distance from the facial midline),(mean age, 19.5years) and 30 pattern without asymmetry (soft tissue menton deviation less than 2 mm distance from the facial midline) (mean age, 19.9 years) were exported to the MIMICS software program (version 17.0). Linear distance, angular, volumetric, and surface area measurements were performed 3 dimensionally to assess and compare intragroup and intergroup differences. Results  Z-Ag,ZA-Goinf,J-FML,J-N,Golat-Me,Co-Goinf,Gopost-FML,Golat-FML,Gopost-Me,Co-Me,P-N, MOP, MBP and the Golat-Me have significant differences between the deviated side and the undeviated side for the asymmetry pattern(P< 0.05) . J-FML、J-N 、Golat-FML have significant differences for the control. The volume and surface of mandibular have significant differences in asymmetry . Conclusions  Asymmetry mainly be found in mandibular, especially in the gonial region. Facial hard and soft tissue asymmetries can be precisely quantified using CBCT,which is important for diagnosis and treatment.

Key words: Key words:  cone beam computed tomography (CBCT), malocclusion, asymmetry , hard and soft tissues.

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