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1. 重庆医科大学附属永川医院口腔科
2. 重庆医科大学附属口腔医院口腔颌面外科
纸质出版日期:2010,
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[1]胡文煦,王涛.髁突增生病下颌骨外形指数相关测定及临床意义[J].重庆医科大学学报,2010,35(06):917-920.
HU Wen-xu, et al. Cephalometric analysis of index of mandibular shape based on the mandibular of condylar hyperactivity and its clinical significance[J]. Journal of Chongqing Medical University, 2010,35(6):917-920.
[1]胡文煦,王涛.髁突增生病下颌骨外形指数相关测定及临床意义[J].重庆医科大学学报,2010,35(06):917-920. DOI: 10.13406/j.cnki.cyxb.2010.06.046.
HU Wen-xu, et al. Cephalometric analysis of index of mandibular shape based on the mandibular of condylar hyperactivity and its clinical significance[J]. Journal of Chongqing Medical University, 2010,35(6):917-920. DOI: 10.13406/j.cnki.cyxb.2010.06.046.
目的:证明下颌骨外形指数(Index of mandibular shape
IMS)能够代表髁突异常活跃中患侧下颌骨的外形改变
并计算出正常及病变情况下各项IMS的参考值范围(Reference range of index of mandibular shape
RRIMS)
讨论其临床意义。方法:18名单侧髁突异常活跃(Unilateral condylar hyperactivity)引起偏颌患者的曲面断层片
使用Obwegeser测量法描记出5条测量线段
通过第一作者相应方法求得6项下颌骨外形指数(健侧患侧各6项)
将健侧及患侧下颌骨外形指数两两配对t检验
通过统计学方法(x±1.96s)求得6项外形指数的参考值范围。结果:健侧与患侧IMS两两配对t检验
差异具有显著性
证明IMS能够代表髁突异常活跃引起的髁突及下颌骨外形改变。RRIMS1
6
:0.2640
0
.6524;0.2457
0
.5520;0.0998
0
.2057;0.0942
0
.1715;0.0847
0
.1508;0.0772
0
.1281(健侧)
RRIMS1’
6
’:0.1963
0
.5362;0.2283
0
.4686;0.0789
0
.1832;0.0903
0
.1590;0.0556
0
.1389;0.0671
0
.1182。结论:对于不明原因引起的偏颌患者早期诊断中
除了常规的临床表现外
基于曲面断层片的测量方法能够很好的对双侧的髁状突及下颌骨外形进行评价
从而明确偏颌患者是否是由于一侧的髁突异常增生引起的
这个简便的方法是对以往诊断方法的一个补充
不仅节约时间
而且节约成本。
Objective:To prove that index of mandibular shape is a feasible method to the primary dignosis of condylar hyperactivity
and obtain a probalbe reference range of mandibular shape index on the normal side and affected side on mandible and conclude the clinical significance. Methods:Doing the cephalometric analysis on the panormic of 18 unilateral condylar hyperactivity patients by modified obwegeser method
and sign the 5 lines
calculated the IMS1-6 and IMS1’-6’
divided them intonormal group and affected group
calculated the reference range and did the compared samples t test of the two groups one IMS by one IMS
and also calculated the reference range of normal group and affected group.Results:The results of t test:the 6 pairs of MICS has significant differences (P<0.05)
and the reference range of normal group:RRIMS1~6:0264 0~0.652 4;0.245 7~0.552 0;0.099 8~0.205 7;0.094 2~0.171 5;0.084 7~0.150 8;0.077 2~0.128 1
RRIMS1’~6’:0.196 3~0.536 2;0.228 3~0.468 6;0.078 9~0.183 2;0.090 3~0.159 0;0.055 6~0.138 9;0.067 1~0.118 2. Conclusion:The primary dignosis of facial asymmetry deformity by unkown reason
besides the general clinical manifestation
the mandibular shape index which mentioned above can also measure the both sides of mandibule and bilateral condyles
through the measurement we can consern which side of condyle was affect by the condylar hyperactivity
this easy method was a requisite supplement to the traditional dignosis
not only saving the time but also saving the cost of dignosis
髁突异常活跃下颌骨外形指数曲面断层片头影测量
Condylar hyperactivityIndex of mandibular shapePanormic cephalometric analysis
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