单侧完全性唇腭裂患者颞下颌关节特征的锥形束CT研究

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摘要目的探讨单侧完全性唇腭裂患者颞下颌关节特征的锥形束CT特点。方法选取2015年6月～2017年6月就诊于福建医科大学附属协和医院口腔正畸科的16例单侧完全性唇腭裂（UCCLP）患者作为研究组，另选取同期于本科室正畸治疗的16例正常牙牙合患者作为对照组。两组均进行锥形束CT检查，比较两组的髁突上部高度（CH）、升支高度（RH）、髁突高度（H）、髁突颈部宽度（W）等指标，并计算CH/RH、H/W，同时比较两组的髁突形态类型。结果研究组健侧的CH、H、W、CH/RH、H/W与对照组同侧比较，差异有统计学意义（P＜0.05）；两组的RH、H/W比较，差异无统计学意义（P＞0.05）；研究组患侧的CH、H、W、CH/RH、H/W与对照组同侧比较，差异有统计学意义（P＜0.05）；两组的RH、H/W比较，差异无统计学意义（P＞0.05）；研究组健侧的正常型、异常型髁突形态与对照组同侧比较，差异有统计学意义（χ2=28.571，P=0.000）；研究组健侧的髁突形态类型与患侧比较，差异有统计学意义（χ2=16.667，P=0.000）。结论锥形束CT在单侧UCCLP患者颞下颌关节特征的检查中具备较高的诊断价值，相较于非UCCLP健康人群，UCCLP患者髁突相对下颌升支短小且颈部较窄。

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	谢勤
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	林珊

关键词 ：单侧完全性唇腭裂, 颞下颌关节, 锥形束CT

Abstract：Objective To investigate the characteristics of temporal-mandibular joint in the patients with unilateral complete cleft lip and palate by conical beam CT.Methods A total of 16 patients with unilateral complete cleft lip and palate (UCCLP)admitted to the Department of Stomatology Orthodontics in Fujian Medical University Union Hospital from June 2015 to June 2017 were selected as the study group.In addition,16 normal occlusal patients who underwent orthodontic treatment in the same period were selected as the control group.Both groups were given conical beam CT examination.CH,RH,H,W and other indexes were compared between the two groups,and CH/RH and H/W were calculated.At the same time,the condylar morphology of the two groups were compared.Results The CH,H,W,CH/RH and H/W at the healthy side in the study group were compared with those at the same side in the control group,and the differences were statistically significant (P＜0.05).There was no statistically significant difference in RH and H/W between the two groups (P＞0.05).The CH,H,W,CH/RH and H/W at ipsilateral side in the study group were compared with those in the control group,the differences were statistically significant (P＜0.05).There was no statistically significant difference in RH and H/W between the two groups(P＞0.05).The normal and abnormal condylar morphology at the healthy side in the study group was compared with that at the same side in the control group,the difference was statistically significant(χ2=28.571,P=0.000).The type of condylar morphology at the healthy side in the study group was compared with that at the ipsilateral side,the difference was statistically significant (χ2=16.667,P=0.000).Conclusion Conical beam CT has a higher diagnostic value in examining the characteristics of temporal-mandibular joint in the patients with unilateral complete cleft lip and palate.Compared with non-UCCLP healthy population,the condyles of UCCLP patients are short and its neck is narrow compared with mandibular ramus.

Key words： Unilateral complete cleft lip and palate Temporal-mandibular joint Conical beam CT

通讯作者: 林珊（1962-），女，福建福州人，本科，主任医师，研究方向：口腔正畸学

作者简介: 谢勤（1987-），女，福建南平人，硕士研究生，住院医师，研究方向：口腔正畸学

引用本文:

谢勤;林立;张玉华;李多; 林斌;林珊. 单侧完全性唇腭裂患者颞下颌关节特征的锥形束CT研究[J]. 中国当代医药, 2018, 25(8): 95-97转100.
XIE Qin;LIN Li;ZHANG Yu-hua;LI Duo;LIN Bin;LIN Shan. Study on conical beam CT of the characteristics of temporal-mandibular joints in the patients with unilateral complete cleft lip and palate. 中国当代医药, 2018, 25(8): 95-97转100.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2018/V25/I8/95

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