CAJ | 학술논문

目的：测量成人干性头颅标本颅面骨相关数据,探讨面侧方宽度和眶外距之间的相关性,为双侧颧骨复合体骨折患者精确恢复面侧方宽度提供解剖学参数。方法2010年1月—2014年6月选取成人干性头颅骨标本100个,男、女各50个,分为男性组和女性组进行解剖学观测。测量颅骨颧点(zy)到头颅正中矢状面(MSP)之间的距离(zy-MSP ),眶额颧点(fmo)到鼻根点(n)之间的距离(fmo-n),观测不同性别组间相关解剖学参数,分析相同性别组内解剖学参数的相关性,建立zy-MSP和 fmo-n 的回归方程。结果男性组 zy-MSP 为74.27~59.54 mm、平均(67.55±2.45)mm,fmo-n 为55.67~46.40 mm、平均(50.80±1.93) mm；女性组 zy-MSP 为69.29~60.02 mm、平均(65.04±2.12)mm,fmo-n 为53.41~46.19 mm、平均(49.64±1.66)mm。男性组 zy-MSP 和 fmo-n 均大于女性组,差异均有统计学意义(P 值均<0.05)。同性别组内,男性、女性面侧方 zy-MSP 与 fmo-n 均高度相关(R男性=0.821,R女性=0.809,P 值均<0.01)；zy-MSP 和 fmo-n 的回归方程,男性组为^Y =1.046X +14.413(P <0.01),女性组为^Y =1.035X +13.662(P <0.01)。结论相同性别间 fmo-n 与 zy-MSP 具有高度相关性,利用 fmo-n 与 zy-MSP 的回归方程,为双侧颧骨复合体骨折患者重建面侧方宽度提供有效的解剖学参数。
목적：측량성인간성두로표본로면골상관수거,탐토면측방관도화광외거지간적상관성,위쌍측권골복합체골절환자정학회복면측방관도제공해부학삼수。방법2010년1월—2014년6월선취성인간성두로골표본100개,남、녀각50개,분위남성조화녀성조진행해부학관측。측량로골권점(zy)도두로정중시상면(MSP)지간적거리(zy-MSP ),광액권점(fmo)도비근점(n)지간적거리(fmo-n),관측불동성별조간상관해부학삼수,분석상동성별조내해부학삼수적상관성,건립zy-MSP화 fmo-n 적회귀방정。결과남성조 zy-MSP 위74.27~59.54 mm、평균(67.55±2.45)mm,fmo-n 위55.67~46.40 mm、평균(50.80±1.93) mm；녀성조 zy-MSP 위69.29~60.02 mm、평균(65.04±2.12)mm,fmo-n 위53.41~46.19 mm、평균(49.64±1.66)mm。남성조 zy-MSP 화 fmo-n 균대우녀성조,차이균유통계학의의(P 치균<0.05)。동성별조내,남성、녀성면측방 zy-MSP 여 fmo-n 균고도상관(R남성=0.821,R녀성=0.809,P 치균<0.01)；zy-MSP 화 fmo-n 적회귀방정,남성조위^Y =1.046X +14.413(P <0.01),녀성조위^Y =1.035X +13.662(P <0.01)。결론상동성별간 fmo-n 여 zy-MSP 구유고도상관성,이용 fmo-n 여 zy-MSP 적회귀방정,위쌍측권골복합체골절환자중건면측방관도제공유효적해부학삼수。
Objective To provide anatomic parameters for bilateral zygomatic complex fracture, to discuss the correlation between the width of the lateral surface and the distance from fossa malar os-frontale to nasion through measuring related data of craniofacial bone of adult cadaveric head specimens. Methods The dry skull samples of 50 adult male and female were selected randomly, and the width of the lateral surface of adults and the distance from fossa malar os-frontale to nasion ( fmo-n) were measured from January, 2010 to June, 2014. The anatomic parameters between different sex groups were observed. The correlation of the distance from zygion to median sagittal plane(zy-MSP) and fmo-n was also analyzed to set up a mathematical model. Results The zy-MSP of male group were 74. 27 - 59. 54 mm with the average of (67. 55 ± 2. 45)mm, and female group were 69. 29 - 60. 02 mm with the average of (65. 04 ± 2. 12)mm. The fmo-n of male group were 55. 67 - 46. 40 mm with the average of (50. 80 ± 1. 93)mm, and female group were 53. 41 - 46. 19 mm the average of(49. 64 ± 1. 66) mm. The zy-MSP and fmo-n values of male were greater than those of female. There were significant differences of zy-MSP and fmo-n between different sex groups. In the same sex group, zy-MSP and fmo-n have significant correlation ( Rmale = 0. 821,Rfemale =0. 809, all P values < 0. 01) . The regression equation of male and female were ^Y = 1. 046X + 14. 413 and^Y = 1. 035X + 13. 662, respectively. Conclusions Fmo-n and sy-MSP have significant correlation in the same sex group. Taking the regression equation of Fmo-n and sy-MSP, we can provide anatomical parameters for bilateral zygomatic complex fracture.