CBCT三维头影测量常用指标的初步探索

›› 2021, Vol. 41 ›› Issue (8): 720-723.

CBCT三维头影测量常用指标的初步探索

李媛¹,秦金炜²,侯伟³,张渊岫⁴,张正东⁵,王林⁶

1. 南京医科大学口腔疾病研究江苏省重点实验室，南京医科大学附属口腔医院
2. 江苏省口腔医院
3. 南京医科大学附属口腔医院
4. 南京医科大学口腔疾病研究江苏省重点实验室，南京医科大学附属口腔医院正畸科
5. 南京医科大学公共卫生学院
6. 南京医科大学口腔疾病研究江苏省重点实验室

收稿日期:2020-09-22 修回日期:2021-04-01 出版日期:2021-08-28 发布日期:2021-08-28
通讯作者: 王林 E-mail:lw603@njmu.edu.cn
基金资助:
南京市科技发展计划项目

A preliminary study on the common indexes of the CBCT 3D cephalometric analysis

Received:2020-09-22 Revised:2021-04-01 Online:2021-08-28 Published:2021-08-28
Contact: Lin Wang E-mail:lw603@njmu.edu.cn

摘要/Abstract

摘要： 目的：通过研究三维转化头颅侧位片（二维）头影测量与CBCT三维头影测量两种测量方法测得的部分常用指标的结果的相关性，初步探索CBCT三维头影测量的应用。方法：选择100例符合纳入标准的错牙合畸形患者，对其进行三维转化头颅侧位片头影测量与CBCT三维头影测量，将两种方法的测量结果进行配对样本t检验和拟合优度检验，探讨两者之间的差异性和拟合程度。结果：两种头影测量方法的结果间的差异均有统计学意义（P<0.05），两种测量方法的结果的拟合优度检验发现，7项指标拟合程度较高（0.8

关键词: 锥体束计算机断层扫描，头影测量，错牙合畸形，牙颌面形态

Abstract: Objective: To study the relevance of the results of the commonly used indicators of the cephalometric measurement obtained from the three-dimensional (3D) transformation lateral cephalometric radiograph and the three-dimensional cone-beam computed tomography (3D CBCT). Methods: To choose 100 malocclusion patients who fit the inclusion criteria, to do the cephalometric analysis with 2D and 3D methods, and to analyze the difference and the fitting degree between the two methods. Results: The differences between the two cephalometric analysis measurements were statistically significant (P <0.05), 7 indexes had the good fitting and 1 index had the moderate fitting. Objective: To explore preliminarily the application of three-dimensional cephalometric measurement of CBCT by studying the relevance ofthe results of the commonly used indicators of the cephalometric measurement obtained from the three-dimensional (3D) transformation lateral cephalometric radiograph and the three-dimensional cone-beam computed tomography (3D CBCT).Methods: To choose 100 malocclusion patients who fit the inclusion criteria, to do the cephalometric analysis with 2D and 3D methods, and to analyze the difference and the fitting degree between the two methods.Results: The differences between the two cephalometric analysis measurements were statistically significant (P <0.05), 7 indexes had the good fitting and 1 index had the moderate fitting. There was the correlation between the two cephalometric analysis measurements. Conclusion:The results of the commonly used indicators of the cephalometric measurement obtained from the 3D CBCT can reflect the maxillofacial morphology in patients with malocclusion.The establishment of standardized fixed-point and normal value database of three-dimensional cephalometric measurement needs to be further studied and established.

Key words: CBCT（cone-beam computed tomography）, cephalometric measurement, malocclusion, maxillofacial morphology

中图分类号:

R783.5

李媛秦金炜侯伟张渊岫张正东王林. CBCT三维头影测量常用指标的初步探索[J]. 口腔医学, 2021, 41(8): 720-723.

参考文献 10

[1]	郑鹭艳.评估CBCT三维标志点识别的可靠性研究[D].福建医科大学,2014.
[2]	曾红梅. Mini-twinblock功能矫治器的设计、制作及其在安氏Ⅱ类1分类错牙合中的临床应用[D].安徽医科大学,2007.
[3]	骆厚卓,张晓东,李成日,张文君,贾立辉.头影测量在正畸学中的临床研究及应用发展[J].中国疗养医学,2012,(9):799~801.
[4]	刘怡,赵健慧,丁云,等.锥形束CT转化头颅侧位片定点精确性的[J].中华口腔正畸学杂志,2010,17(2):61-65.
[5]	傅民魁.口腔正畸学（第6版）[M].人民卫生出版社,2012.76-94.
[6]	韩越,潘永初,杜一飞,万林忠,王林.非综合征型唇腭裂与MTHFR基因多态性的相关性研究[J].口腔生物医学,2011,2(1):8~12.
[7]	Kumar Vandana,Ludlow John,Soares Cevidanes Lucia Helena,Mol André.In vivo comparison of conventional and cone beam CT synthesized cephalograms[ J] . The Angle orthodontist,2008 , 78 ( 5 ) : 873 ~879.
[8]	Van Vlijmen OJ, Berge SJ, Swennen GR, et al. Comparison of cephalometric radiographs obtained from cone-beam computed tomography scans and conventional radiographs[J].Int J Oral Maxillofac Surg, 2009,67(1):92-97.
[9]	王珊,韩越,林汤毅.三维转化头影测量与数字化侧位片头影测量的对比[J].南京医科大学学报(自然科学版),2016,(1):94~98.
[10]	秦化祥,叶洁,阳福,等.头颅侧位片2D和CBCT 3D头影测量的可靠性及精确度比较[J].温州医学院学报,2011,05:421-426,430.

[1]	李国超潘晓岗游清玲. 被动自锁托槽在固定正畸治疗中的应用[J]. , 2021, 41(9): 816-819.
[2]	吴雁格刘家琦张真真周雪曼王军. 恒牙列X线头影测量127项指标正常值研究[J]. , 2021, 41(9): 797-804.
[3]	李律元夏伦果李佳宜谭宇房兵. 低强度脉冲超声在正畸骨改建中的研究进展[J]. , 2021, 41(9): 851-855.
[4]	薛凡高小翠兰泽栋. 安氏Ⅱ类和Ⅲ类错牙合畸形的遗传病因研究[J]. , 2021, 41(9): 847-850.
[5]	陈萌韩天媛凌兆邵玶汤荟文王晓琳. 常用头影测量软件重叠技术的准确性研究[J]. , 2021, 41(8): 724-727.
[6]	许远王林唐伟成束为赵春洋. 上颌中切牙间微种植体植入可靠性的CBCT测量研究[J]. , 2021, 41(8): 715-719.
[7]	吴雁格张紫涵巩靖蕾黄艳梅王军. 基于可视化治疗目标预测正畸软组织变化的研究进展[J]. , 2021, 41(8): 742-745.
[8]	雷鹤高冲吴冬雪魏亚姗刘美杰邓春妮陈曦. 隐形矫治磨牙远移的三维有限元分析[J]. , 2021, 41(8): 692-698.
[9]	颜冬施雨佳葛悦包涵谢宁朱宪春. 切牙管与上颌中切牙位置关系的定量研究[J]. , 2021, 41(7): 627-630.
[10]	杨琪范力文姚思玥王林潘永初. 骨性错牙合畸形的遗传学研究进展[J]. , 2021, 41(7): 635-639.
[11]	蒋昕怡唐卫忠高轶昳陈建军. 运用CBCT评估MRC矫治器对替牙期口呼吸儿童上气道口咽段和舌骨位置的影响[J]. , 2021, 41(6): 532-536.
[12]	薛曼玲刘璐玮张卫兵张驰. 唇腭裂患者上颌前部牙槽骨厚度及骨开窗、骨开裂的三维评价研究[J]. , 2021, 41(6): 514-520.
[13]	叶俊杰张卫兵. 不同矢状骨面型成年患者磨牙后三角及下颌升支前缘骨骼特征的CBCT分析[J]. , 2021, 41(6): 509-513.
[14]	王亮程磊王林谷妍吴可赵春洋. 骨皮质切开术辅助上切牙内收后对牙根及牙槽骨影响的锥形束CT研究[J]. , 2021, 41(6): 503-508.
[15]	许丽琦张晨星林军. 正畸骨皮质切开术加速牙移动机制的研究进展[J]. , 2021, 41(5): 455-460.