成人骨性Ⅱ类患者不同垂直骨面型上颌窦容积及口咽气道体积的锥形束计算机断层扫描研究

doi:10.7518/gjkq.2023062

摘要/Abstract

摘要：

目的评估成人骨性Ⅱ类患者不同垂直骨面型上颌窦容积（MSV）及口咽气道体积的差异，并探索MSV与口咽气道之间的相关性。方法选取成人骨性Ⅱ类患者90例，年龄、性别严格匹配。应用Mimics 21.0软件对所有样本的锥形束计算机断层扫描（CBCT）影像进行双侧上颌窦及口咽段气道的三维重建，分别计算出其体积。使用SPSS 21.0软件进行统计学分析，比较不同垂直骨面型、不同性别的MSV及口咽气道体积差异，并探索MSV与口咽气道体积的相关性。结果成人骨性Ⅱ类患者平均MSV为（18 360.42±3 747.41） mm³，左右侧MSV组间差异无统计学意义；男性明显大于女性，差异具有统计学意义（P<0.05）；在垂直骨面型分组中，高角组MSV明显大于均角组和低角组，差异具有统计学意义（P<0.01），均角组大于低角组，差异无统计学意义（P>0.05）。成人骨性Ⅱ类患者平均口咽气道体积为（17 517.80±6 056.33） mm³；男性明显大于女性，差异具有统计学意义（P<0.01）；从高角组、均角组至低角组口咽气道体积逐渐增大，差异具有统计学意义（P<0.05）。MSV与口咽气道体积呈负相关，相关系数为-0.458（P<0.01）。结论在成人骨性Ⅱ类错𬌗畸形患者中，下颌平面角较大者，MSV较大，口咽气道体积较小，且MSV与口咽气道体积呈显著负相关。

关键词: 上颌窦容积, 口咽气道, 骨性Ⅱ类, 垂直骨面型, 锥形束计算机断层扫描术

Abstract:

Objective This study aimed to evaluate the differences in maxillary sinus volume (MSV) and oropharyngeal airway volume with different vertical osseous faces in adult skeletal Class Ⅱ patients and explore the correlation between MSV and oropharyngeal airway. Methods A total of 90 adult patients with skeletal type Ⅱ were selected, and their age and gender were strictly matched. Using Mimics 21.0 software, 3D reconstruction of bilateral maxillary sinuses and oropharyngeal airways was performed on cone beam computed tomography (CBCT) images of all samples, and their volumes were calculated. SPSS 21.0 software was used for statistical analysis to compare the differences between MSV and oropharyngeal airway volume in different vertical bone profiles and genders and analyze the correlation between MSV and oropharyngeal airway volume. Results The average MSV of adult skeletal Class Ⅱ patients was (18 360.42±3 747.41) mm³, and there was no significant difference between the left and right MSV groups; males were significantly larger than females, and the difference was statistically significant (P<0.05); in the vertical bone surface type grouping, the group was significantly larger than the average and low angle group, the difference was statistically significant (P<0.01), the average angle group was greater than the low angle group, the difference was not statistically significant (P>0.05). The average oropharyngeal airway volume of adult skeletal Class Ⅱ patients was (17 517.80±6 056.33) mm³; males were significantly larger than females, and the difference was statistically significant (P<0.01); from the high angle group, the average angle group to the low angle group, the oropharyngeal airway volume gradually increased, and the difference was statistically significant (P<0.05). MSV was negatively correlated with oropharyngeal airway volume, and the correlation coefficient was -0.458 (P<0.01). Conclusion In adult patients with Class Ⅱ skeletal malocclusion, those with large mandibular plane angles had larger MSV and smaller oropharyngeal airway volume, and there was a significant negative correlation between MSV and oropharyngeal airway volume.

Key words: maxillary sinus volume, oropharyngeal airway, skeletal Class Ⅱ, vertical skeletal pattern, cone beam computed tomography

中图分类号:

R 783.5

刘盼明,李政泽,李军鹤,崔淑霞. 成人骨性Ⅱ类患者不同垂直骨面型上颌窦容积及口咽气道体积的锥形束计算机断层扫描研究[J]. 国际口腔医学杂志, 2023, 50(5): 528-537.

Liu Panming,Li Zhengze,Li Junhe,Cui Shuxia.. Cone beam computed tomography study of maxillary sinus volume and oropharyngeal airway volume with diffe-rent vertical skeletal faces in adult skeletal Class Ⅱ patients[J]. Int J Stomatol, 2023, 50(5): 528-537.

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测量项目	高角	均角	低角	总计	P值
测量项目	高角	均角	低角	总计	3组比较	高角和均角	高角和低角	均角和低角
男/女	15/15	15/15	15/15	45/45
平均年龄/岁	27.60±5.31	27.87±5.25	26.20±3.85	27.20±4.85	0.37
平均MSV/mm³	21 784.21± 3 594.99	17 150.10± 2 196.69	16 146.94± 2 576.41	18 360.42± 3 747.41	0.00**	0.00**	0.00**	0.37
平均口咽气道体积/mm³	12 812.86± 2 815.84	17 626.10± 6 395.33	22 114.44± 4 355.27	17 517.80± 6 056.33	0.00**	0.001*	0.00**	0.001*

测量项目	男	女	P值
人数/例	45	45
平均年龄/岁	27.33±5.03	27.11±4.73	0.83
平均MSV/mm³	19 324.12±4 109.28	17 396.71±3 101.52	0.014*
平均口咽气道体积/mm³	19 208.73±5 668.29	15 826.86±6 017.80	0.007*

测量项目		MSV	上气道体积
MSV	Pearson相关性	1	-0.458**
	Sig.（双尾）		0
	个案数	90	90
口咽气道体积	Pearson相关性	-0.458**	1
	Sig.（双尾）	0
	个案数	90	90

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