国际口腔医学杂志

国际口腔医学杂志 ›› 2017, Vol. 44 ›› Issue (5): 566-572.doi: 10.7518/gjkq.2017.05.014

• 论著 • 上一篇    下一篇

成都正常人群上颌前牙区鼻腭管相关解剖结构的锥形束CT研究

袁艺航, 张成晓雪, 王扬, 何双双, 宋雪娟, 王虎   

  1. 口腔疾病研究国家重点实验室,国家口腔疾病临床研究中心,四川大学华西口腔医院放射科 成都 610041
  • 收稿日期:2016-12-19 修回日期:2017-05-18 出版日期:2017-09-01 发布日期:2017-09-01
  • 通讯作者: 王虎,教授,硕士,Email：1328548883@qq.com
  • 作者简介:袁艺航,学士,Email：ankh.y@foxmail.com
  • 基金资助:
    大学生创新创业训练计划项目（201510611086）

Cone-beam computed tomography evaluation of nasopalatine canal anatomy at maxillary anterior region in Chengdu normal population

Yuan Yihang, Zhang Chengxiaoxue, Wang Yang, He Shuangshuang, Song Xuejuan, Wang Hu.   

  1. State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Dept. of Radiology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2016-12-19 Revised:2017-05-18 Online:2017-09-01 Published:2017-09-01
  • Supported by:
    ; This study was supported by Student’s Platform for Innovation and Entrepreneurship Training Program(201510611086).

RichHTML

10

PDF (PC)

291

摘要： 目的 用锥形束CT（CBCT）分析上颌前牙区鼻腭管及唇侧骨的形态。方法 收集并筛选出712例正常人上颌前牙区CBCT影像,对其鼻腭管、唇侧骨的相关参数进行测量分析。结果 研究对象年龄范围在5~80岁,男306例（43.0%）,女406例（57.0%）。鼻腭管矢状面平均长度为（13.58±2.22）mm,矢状面平均直径为（3.37±1.58）mm,唇侧骨矢状面平均厚度为（7.63±1.50）mm,鼻腭管直径与唇侧骨厚度相对值为0.46±0.19,长度相对值为0.69±0.10。结论 各年龄段人群之间鼻腭管的直径、长度和唇侧骨厚度存在一定差异。儿童的鼻腭管直径小于成人（P<0.000 1）,唇侧骨厚度大于成人（P<0.000 1）。随着年龄的增长,鼻腭管直径和长度均呈递增趋势,唇侧骨厚度递减。男性的鼻腭管直径、长度和唇侧骨厚度、长度均大于女性。

关键词: 鼻腭管, 唇侧骨板, 锥形束CT, 解剖多样性

Abstract: Objective To provide an anatomical guidance for surgical operations, we evaluated the general anatomical morphology of nasopalatine canal(NPC) and maxillary anterior region.Methods Seven hundred and twelve cone-beam computed tomography(CBCT) images of normal people were collected. Three experienced oral radiologists used INFINITT software to evaluate the relevant parameters of the NPC and labial bone. Results Seven hundred and twelve subjects ranged in age from 5 to 80, including 306 males(43.0%) and 406 females(57.0%). The mean length of the NPC was (13.58±2.22) mm, the mean diameter was (3.37±1.58) mm and the mean thickness of labial bone was (7.63±1.50) mm. The ratio of the thickness between NPC and labial bone is 0.46±0.19, and the ratio of their length is 0.69±0.10.Conclusion The study revealed statistically significant differences in the diameter of the NPC, length of the NPC and thickness of the labial bone. The mean diameter of the NPC was shorter(P<0.000 1) and the labial bone was thicker(P<0.000 1) in children. We also found that the mean length and diameter of the NPC had a trend to become longer with age, while the labial bone became thinner. Additionally, our study showed that gender exerted a significant influence upon the NPC and the labial bone, with larger values in males than in females.

Key words: nasopalatine canal, labial bone, cone-beam CT, anatomic variety

中图分类号: 

  • Q26
[1] Fernández-Alonso A, Suárez-Quintanilla JA, Mui-nelo-Lorenzo J, et al. Three-dimensional study of nasopa-latine canal morphology: a descriptive re-trospective analysis using cone-beam computed tomography[J]. Surg Radiol Anat, 2014, 36(9):895- 905.
[2] 王扬, 姜曚, 袁艺航, 等. 鼻腭管解剖形态多样性的锥形束CT研究[J]. 临床口腔医学杂志, 2015, 31 (12):710-713.
Wang Y, Jiang M, Yuan YH, et al. Analysis of anato-mical variations of nasopalatine canal using cone beam computed tomography[J]. Clin Stomatol, 2015, 31(12):710-713.
[3] Liang X, Jacobs R, Martens W, et al. Macro- and micro-anatomical, histological and computed tomo-graphy scan characterization of the nasopalatine canal[J]. J Clin Periodontol, 2009, 36(7):598-603.
[4] Adler JT. Gray’s anatomy: the anatomical basis of clinical practice, 40 edition[J]. J Surg Res, 2010, 158 (1):28-29.
[5] Mraiwa N, Jacobs R, Van Cleynenbreugel, et al. The nasopalatine canal revisited using 2D and 3D CT imaging[J]. Dentomaxillofac Radiol, 2004, 33(6): 396-402.
[6] Tözüm TF, Güncü GN, Yıldırım YD, et al. Evalua-tion of maxillary incisive canal characteristics related to dental implant treatment with computerized tomo-graphy: a clinical multicenter study[J]. J Periodontol, 2012, 83(3):337-343.
[7] Thakur AR, Burde K, Guttal K, et al. Anatomy and morphology of the nasopalatine canal using cone-beam computed tomography[J]. Imaging Sci Dent, 2013, 43(4):273-281.
[8] 王智, 邹立东. 锥形束CT对切牙管及其相对位置关系的测量分析[J]. 北京大学学报(医学版), 2015, 47(6):994-999.
Wang Z, Zhou LD. Measurement and analysis of the nasopalatine canal and its relative position by cone-beam computed tomography[J]. J Peking Univ (Health Sci), 2015, 47(6):994-999.
[9] Song WC, Jo DI, Lee JY, et al. Microanatomy of the incisive canal using three-dimensional reconstruction of microCT images: an ex vivo study[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2009, 108(4):583-590.
[10] Al-Amery SM, Nambiar P, Jamaludin M, et al. Cone beam computed tomography assessment of the maxillary incisive canal and foramen: considerations of anatomical variations when placing immediate implants[J]. PLoS One, 2015, 10(2):e0117251.
[11] Zhou ZX, Wu C, Shen M, et al. Cone beam computed tomographic analyses of alveolar bone anatomy at the maxillary anterior region in Chinese adults[J]. J Biomed Res, 2014, 28(6):498-505.
[12] Shear M, Speight P. Cysts of the oral and maxillo-facial regions[M]. 4th ed. Oxford: Blackwell, 2007: 108-118.
[13] Bornstein MM, Balsiger R, Sendi P, et al. Morpho-logy of the nasopalatine canal and dental implant surgery: a radiographic analysis of 100 con-secutive patients using limited cone-beam computed tomo-graphy[J]. Clin Oral Implants Res, 2011, 22(3):295- 301.
[14] Mardinger O, Namani-Sadan N, Chaushu G, et al. Morphologic changes of the nasopalatine canal related to dental implantation: a radiologic study in different degrees of absorbed maxillae[J]. J Periodontol, 79 (9):1659-1662.
[15] Güncü GN, Yıldırım YD, Yılmaz HG, et al. Is there a gender difference in anatomic features of incisive canal and maxillary environmental bone[J]. Clin Oral Implants Res, 2013, 24(9):1023-1026.
[1] 唐蓓,赵文俊,王虎,郑广宁,游梦. 根管超填导致下牙槽神经损伤2例[J]. 国际口腔医学杂志, 2020, 47(3): 293-296.
[2] 章婷婷,胡常红,彭燕,周文翘,张慧聪,刘蝶. 300例不同年龄段有牙颌人群上唇软组织侧貌的锥形束CT三维测量分析[J]. 国际口腔医学杂志, 2020, 47(2): 182-188.
[3] 王春林,刘从华,宋思吟,周丽淑,林丽佳. 运用锥形束CT诊断上下颌横向发育不调的研究进展[J]. 国际口腔医学杂志, 2020, 47(1): 121-124.
[4] 黎祺, 黄少宏. 岭南地区广府民系人群下颌第二恒磨牙牙根和根管形态的锥形束CT研究[J]. 国际口腔医学杂志, 2019, 46(6): 640-649.
[5] 曹焜,李家锋,孙玉华,鲍强,卢秋宁,唐巍. 下颌下窝的锥形束CT影像分析[J]. 国际口腔医学杂志, 2019, 46(2): 209-212.
[6] 孟怡彤,张晓东. 成人个别正常颌上气道不同软件三维测量的比较研究[J]. 国际口腔医学杂志, 2018, 45(6): 690-694.
[7] 徐迅, 黄建生, 甘泽坤, 罗震. 上颌第一磨牙区腭侧骨板的锥形束CT测量结果及其临床意义[J]. 国际口腔医学杂志, 2017, 44(6): 686-690.
[8] 吴杉杉, 张茹, 侯本祥. 钙化根管的诊断与治疗[J]. 国际口腔医学杂志, 2017, 44(3): 279-283.
[9] 罗志强, 叶钟泰. 新疆地区不同人群上颌窦外侧骨壁厚度的锥形束CT测量分析[J]. 国际口腔医学杂志, 2017, 44(1): 55-58.
[10] 毛小泉，蒙亚娇，李海芳. 根样釉珠1例[J]. 国际口腔医学杂志, 2016, 43(4): 406-408.
[11] 高静,申静,张海峰,靳淑凤. 锥形束CT与根尖片对实验性根尖周炎根管治疗结果的评估[J]. 国际口腔医学杂志, 2016, 43(3): 292-294.
[12] 郭文豪,游梦,罗晶晶,王凯利,王虎,郑广宁. 4例口腔颌面部非霍奇金淋巴瘤的影像学表现[J]. 国际口腔医学杂志, 2016, 43(2): 146-150.
[13] 翟菲1 祈森荣2 侯本祥1. 2种锥形束CT诊断牙根纵裂准确性的研究[J]. 国际口腔医学杂志, 2016, 43(1): 13-.
[14] 李放，王建国. 不同垂直骨面型安氏Ⅰ类成年患者颞下颌关节形态特征的锥形束CT研究[J]. 国际口腔医学杂志, 2015, 42(5): 538-541.
[15] 李炎钊1 黄念全1 吴敏茹2. 骨性错牙合畸形患者前牙牙槽骨骨裂孔的锥形束CT分析[J]. 国际口腔医学杂志, 2015, 42(4): 398-400.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 张新春. 桩冠修复与无髓牙的保护[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 王昆润. 长期单侧鼻呼吸对头颅发育有不利影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[3] 彭国光. 颈淋巴清扫术中颈交感神经干的解剖变异[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 杨凯. 淋巴化疗的药物运载系统及其应用现状[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 康非吾. 种植义齿下部结构生物力学研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 柴枫. 可摘局部义齿用Co-Cr合金的激光焊接[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 孟姝,吴亚菲,杨禾. 伴放线放线杆菌产生的细胞致死膨胀毒素及其与牙周病的关系[J]. 国际口腔医学杂志, 2005, 32(06): 458 -460 .
[8] 费晓露,丁一,徐屹. 牙周可疑致病菌对口腔黏膜上皮的粘附和侵入[J]. 国际口腔医学杂志, 2005, 32(06): 452 -454 .
[9] 庞莉苹,姚江武. 抛光和上釉对陶瓷表面粗糙度、挠曲强度及磨损性能的影响[J]. 国际口腔医学杂志, 2008, 35(S1): .
[10] 李子夏,包广洁. 龋病病因相关因素的激光扫描共聚焦显微镜研究[J]. 国际口腔医学杂志, 2008, 35(S1): .