中国临床新医学
中國臨床新醫學
중국림상신의학
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
2011年
11期
1021-1028
,共8页
黄敏方%周嫣%陈世稳%方志欣%钟易%KO Ching-chang
黃敏方%週嫣%陳世穩%方誌訢%鐘易%KO Ching-chang
황민방%주언%진세은%방지흔%종역%KO Ching-chang
阻塞性睡眠呼吸暂停综合征(OSA)%下颌前移口腔矫治器%数字化影像%X线摄影%颞下颌关节%髁状突
阻塞性睡眠呼吸暫停綜閤徵(OSA)%下頜前移口腔矯治器%數字化影像%X線攝影%顳下頜關節%髁狀突
조새성수면호흡잠정종합정(OSA)%하합전이구강교치기%수자화영상%X선섭영%섭하합관절%과상돌
Obstructive sleep apnea (OSA)%Mandibular advancement appliance%Digital imaging%Roentgenogram%Temporomandibular joint(TMJ)%Condyle
目的 明确阻塞性睡眠呼吸暂停综合征(obstructive sleep apnea,OSA)患者戴入治疗有效的口腔矫治器后髁状突的位置变化.方法 选取21例使用口腔矫治器成功治疗的OSA患者参加研究,采用经颅咽方向投照双侧颞下颌关节的方法摄取闭口位、最大开口位及戴有效的口腔矫治器后双侧颞下颌关节的数字化X线片.测量髁状突的位置并作三个不同下颌位置的比较,对髁状突位置的变化及戴用口腔矫治器后的疗效变化作相关分析.结果 三个髁状突位置明显不同.患者戴入治疗有效的口腔矫治器后髁状突的最上点座标为X(-1.21±1.98)mm,Y(-0.68±1.08)mm.髁状突位置的变化与口腔矫治器疗效的变化无明显相关性,x值的相关系数为r=0.057,y值的相关系数为r=0.024.结论 戴入有效的口腔矫治器后髁状突的最上点为靠近于颞下颌关节的结节点.
目的 明確阻塞性睡眠呼吸暫停綜閤徵(obstructive sleep apnea,OSA)患者戴入治療有效的口腔矯治器後髁狀突的位置變化.方法 選取21例使用口腔矯治器成功治療的OSA患者參加研究,採用經顱嚥方嚮投照雙側顳下頜關節的方法攝取閉口位、最大開口位及戴有效的口腔矯治器後雙側顳下頜關節的數字化X線片.測量髁狀突的位置併作三箇不同下頜位置的比較,對髁狀突位置的變化及戴用口腔矯治器後的療效變化作相關分析.結果 三箇髁狀突位置明顯不同.患者戴入治療有效的口腔矯治器後髁狀突的最上點座標為X(-1.21±1.98)mm,Y(-0.68±1.08)mm.髁狀突位置的變化與口腔矯治器療效的變化無明顯相關性,x值的相關繫數為r=0.057,y值的相關繫數為r=0.024.結論 戴入有效的口腔矯治器後髁狀突的最上點為靠近于顳下頜關節的結節點.
목적 명학조새성수면호흡잠정종합정(obstructive sleep apnea,OSA)환자대입치료유효적구강교치기후과상돌적위치변화.방법 선취21례사용구강교치기성공치료적OSA환자삼가연구,채용경로인방향투조쌍측섭하합관절적방법섭취폐구위、최대개구위급대유효적구강교치기후쌍측섭하합관절적수자화X선편.측량과상돌적위치병작삼개불동하합위치적비교,대과상돌위치적변화급대용구강교치기후적료효변화작상관분석.결과 삼개과상돌위치명현불동.환자대입치료유효적구강교치기후과상돌적최상점좌표위X(-1.21±1.98)mm,Y(-0.68±1.08)mm.과상돌위치적변화여구강교치기료효적변화무명현상관성,x치적상관계수위r=0.057,y치적상관계수위r=0.024.결론 대입유효적구강교치기후과상돌적최상점위고근우섭하합관절적결절점.
Objective The aim of this paper is to quantify the condyle position of obstructive sleep apnea(OSA) patients using effective mandibular advancement appliances.Methods Twenty-one OSA patients,who had been successfully treated with mandibular advancement appliances,were recruited for the study.The digital film imaging of the temporomandibular joint by transcranial projection was recorded bilaterally at three conditions:the intercuspid occlusion,the maximum open bite position before treatment,and the occlusion when the appliance was in place.The anterior-posterior and vertical location of the condyle were measured from the film imaging.Paired t-tests were used to compare condyle positions among three occlusions.Correlation between the change of condyle position and effectiveness of the oral appliance were calculated.Results The condyle positions significantly differed among three occlusions (P<0.05).The upper point on the condyle of the patient wearing a mandibular advancement appliance was positioned at X(-1.21±1.98)mm and Y(-0.68±1.08)mm.The correlation between the change of condyle position and the effectiveness of the oral appliance were poor (protrusion r=0.057,inferiorly r=0.024).Conclusion The upper most point of the condyle in the OSA patients wearing the effective mandibular advancement appliance was close to the articular tubercle point of the temporomandibular joint.
