中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2011年
18期
1242-1245
,共4页
严奉国%平飞云%单一旦%陈军%徐昕%严君烈
嚴奉國%平飛雲%單一旦%陳軍%徐昕%嚴君烈
엄봉국%평비운%단일단%진군%서흔%엄군렬
腭裂%颌面假体植入%上颌骨%骨发育%三维头颅模型
腭裂%頜麵假體植入%上頜骨%骨髮育%三維頭顱模型
악렬%합면가체식입%상합골%골발육%삼유두로모형
Cleft palate%Maxillofacial prosthesis implantation%Maxilla%Bone development%Three dimensional model
目的 探讨腭裂腭板植骨对上颌骨发育的影响.方法 于1997年1月至1999年12月在浙江大学医学院附属第二医院口腔外科就诊的腭板骨缺损先天性Ⅱ度腭裂患者40例,随机分为对照组和植骨组,植骨组腭板骨缺损利用羟基磷灰石骨水泥复合人工骨修复,所有患者年满16周岁时复诊,颌骨CT扫描三维表面重建快速成型制作三维头颅模型,在头颅模型上直观定点、测量,与牙颌模型测量相结合,分析腭板植骨对上颌骨发育的影响.结果 三维头颅模型与牙颌模型测量结果比较差异无统计学意义;三维头颅模型测量显示:植骨组与对照组在上颌骨长度发育上、高度发育上差异均无统计学意义;植骨组与对照组在上颌骨后部宽度发育上差异均有统计学意义(67.6 mm±4.3 mm比61.3 mm±4.1 mm、63.5 mm±3.9 mm比57.3 mill±3.1 mm、26.2 mm±1.8 mm比26.4mm±1.9 mm,均P<0.05),植骨组上颌骨后部宽度明显大于对照组.结论 三维头颅模型上定点测量评价上颌骨生长发育直观、准确,是一种较好的研究方法.腭板植骨对上颌骨后部宽度的发育存在明显的促进作用,腭裂序列治疗应考虑对腭板进行植骨修复.
目的 探討腭裂腭闆植骨對上頜骨髮育的影響.方法 于1997年1月至1999年12月在浙江大學醫學院附屬第二醫院口腔外科就診的腭闆骨缺損先天性Ⅱ度腭裂患者40例,隨機分為對照組和植骨組,植骨組腭闆骨缺損利用羥基燐灰石骨水泥複閤人工骨脩複,所有患者年滿16週歲時複診,頜骨CT掃描三維錶麵重建快速成型製作三維頭顱模型,在頭顱模型上直觀定點、測量,與牙頜模型測量相結閤,分析腭闆植骨對上頜骨髮育的影響.結果 三維頭顱模型與牙頜模型測量結果比較差異無統計學意義;三維頭顱模型測量顯示:植骨組與對照組在上頜骨長度髮育上、高度髮育上差異均無統計學意義;植骨組與對照組在上頜骨後部寬度髮育上差異均有統計學意義(67.6 mm±4.3 mm比61.3 mm±4.1 mm、63.5 mm±3.9 mm比57.3 mill±3.1 mm、26.2 mm±1.8 mm比26.4mm±1.9 mm,均P<0.05),植骨組上頜骨後部寬度明顯大于對照組.結論 三維頭顱模型上定點測量評價上頜骨生長髮育直觀、準確,是一種較好的研究方法.腭闆植骨對上頜骨後部寬度的髮育存在明顯的促進作用,腭裂序列治療應攷慮對腭闆進行植骨脩複.
목적 탐토악렬악판식골대상합골발육적영향.방법 우1997년1월지1999년12월재절강대학의학원부속제이의원구강외과취진적악판골결손선천성Ⅱ도악렬환자40례,수궤분위대조조화식골조,식골조악판골결손이용간기린회석골수니복합인공골수복,소유환자년만16주세시복진,합골CT소묘삼유표면중건쾌속성형제작삼유두로모형,재두로모형상직관정점、측량,여아합모형측량상결합,분석악판식골대상합골발육적영향.결과 삼유두로모형여아합모형측량결과비교차이무통계학의의;삼유두로모형측량현시:식골조여대조조재상합골장도발육상、고도발육상차이균무통계학의의;식골조여대조조재상합골후부관도발육상차이균유통계학의의(67.6 mm±4.3 mm비61.3 mm±4.1 mm、63.5 mm±3.9 mm비57.3 mill±3.1 mm、26.2 mm±1.8 mm비26.4mm±1.9 mm,균P<0.05),식골조상합골후부관도명현대우대조조.결론 삼유두로모형상정점측량평개상합골생장발육직관、준학,시일충교호적연구방법.악판식골대상합골후부관도적발육존재명현적촉진작용,악렬서렬치료응고필대악판진행식골수복.
Objective To observe the effect of artificial bone implantation of hard cleft palate on the development of maxilla.Methods From January 1997 to December 1999,40 patients with hard cleft palate were randomly divided into two groups:control group and implantation group(n=20 each).The patients in the implantation group received an implantation of compound artiffcial bone of HA-Bone cement.All pailents had a follow-up since 16 years old.A tllree dimensional model was established with computed tomography and rapid prototype technique to analyze the maxilla in three dimension.At the same time,a dentognathic model was employed.Results There were no differences in the results between the three dimensional and dentognathic models.No difference was found in the development of maxilla in length and height between the control and implantation groups.There were marked differences in the development of maxilla in width between two groups(67.6 mm±4.3 mm vs 61.3 1131/1±4.1 mm.63.5 mln±3.9 mm vs 57.3 mm±3.1 mm,26.2 mm±1.8 mm vs 26.4 mm±1.9 mm,all P<0.05).The width of maxilla in the implantation group was markedly wider than that in the control group.Conclusions The application of three dimensional model for evaluating the development of maxilla is both straightforward and accurate.Bone implantation of hard cleft palate is an obvious boost to the development of maxilla in width.It should be included into a comprehensive orthodontic treatment for patients with hard cleft palate.
