›› 2020, Vol. 40 ›› Issue (10): 927-931.

• 临床研究 • 上一篇    下一篇

低角病例颈椎骨骼异常的研究

刘阳,高睿,韩天媛,邵玶,孙婷婷,唐林   

  1. 哈尔滨医科大学附属第一医院 哈尔滨医科大学口腔医学院
  • 收稿日期:2019-11-04 修回日期:2019-12-22 出版日期:2020-10-28 发布日期:2020-10-28
  • 通讯作者: 邵玶 E-mail:13604881927@163.com

Study on cervical vertebra abnormalities in low angle cases

  • Received:2019-11-04 Revised:2019-12-22 Online:2020-10-28 Published:2020-10-28

摘要: [摘要] 目的 通过头颅侧位片分析低角型错牙合畸形与颈椎骨骼异常之间是否存在关联,统计低角病例颈椎异常的发病率,分析颈椎形态与头颈姿势和颅面形态间的关系。方法 选取2011-2019年就诊于哈尔滨医科大学口腔医院正畸科的60例低角病例作为实验组。另随机选取60例均角病例作为对照组。所有病例年龄范围 16~ 40岁。记录前4个颈椎融合和后弓发育缺陷的数据,统计颈椎异常各亚类的发生情况,并分析颅面颈部各测量项目与颈椎异常的相关性。结果 低角组颈椎融合患病率56.7%,均角组21.7%,且颈椎融合多发生在第二和第三颈椎间,两组间比较差异有统计学意义。两组间后弓缺陷患病率无统计学差异。颅面颈部各测量值中ML/OPT、 ML/CVT、SNB、NSL/ML、FH/ML、NSL/NL、NL/ML、S-Go、N-Me、ANS-Me、面高比(S-Go/N-Me)两组间比较有统计学意义。Logistic回归分析显示:颈椎融合的发生与FH/ML有相关性。结论 低角病例颈椎融合的发生率明显增加,说明颈椎融合的发生可能与面部垂直向生长方式相关。

关键词: 低角, 颈椎骨骼异常, 颈椎融合, 后弓发育缺陷, 颈椎姿势

Abstract: Abstract:Objective Whether there is a relationship between the low angle malocclusion and cervical abnormalities was analyzed by the lateral cephalometric radiographs. The incidence of cervical vertebra abnormalities in low angle cases was statistically analyzed, and the relationship among cervical morphology, neck posture and craniofacial morphology was analyzed. Methods Sixty low angle cases of orthodontics in Harbin Medical University were selected as experimental groups in 2011-2019. Another 60 cases of average angle were randomly selected as the control group. All patients ranged in age from 16 to 40 years old. Based on data from the first 4 cervical fusions and posterior arch deficiency. The incidence of cervical anomalies was counted. And the correlation between the measurement of the craniofacial neck and cervical abnormalities was analyzed. Results The prevalence of cervical fusion in the low angle group was 56.7%, and the average angle group was 21.7%. Cervical fusion occurred mostly in the second and third cervical vertebrae. The difference between the two groups was statistically significant. There was no significant difference in the posterior arch deficiency. ML/OPT, ML/CVT, SNB, NSL/ML, FH/ML, NSL/NL, NL/ML, S-Go, N-Me, ANS-Me, S-Go/N-Me in the measurements of craniofacial was statistically significant between the two groups. Logistic regression analysis showed that the occurrence of cervical fusion was related to FH/ML. Conclusions The incidence of cervical fusion in low angle patients is significantly increased, indicating that the occurrence of cervical fusion may be related to the vertical growth pattern of the face.

Key words: the low angle, cervical abnormalities, cervical fusions, posterior arch deficiency, cervical posture

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