[1]余兴亚,孙 琼.基于CBCT的上颌窦外侧壁血管解剖特点及在种植术中的应用分析[J].中国美容医学,2024,(6):121-123.
　YU Xingya,SUN Qiong.Analysis on CBCT in Evaluating the Shape of the Lateral Wall of Maxillary Sinus and Its Clinical Application[J].Medical Aesthetics and Beauty,2024,(6):121-123.
点击复制

基于CBCT的上颌窦外侧壁血管解剖特点及在种植术中的应用分析()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年6期
页码:
121-123
栏目:
出版日期:
2024-06-10

文章信息/Info

Title:
Analysis on CBCT in Evaluating the Shape of the Lateral Wall of Maxillary Sinus and Its Clinical Application
文章编号:
1008-6455（2024）06-0121-04
作者:
余兴亚1; 2; 孙 琼2; 3
(1.合肥市口腔医院放射科 安徽 合肥 230001 ;2.安徽医科大学合肥口腔临床学院 安徽 合肥 230001 ;3.合肥市口腔医院牙 体牙髓二科 安徽 合肥 230001 )
Author(s):
YU Xingya1; 2;  SUN Qiong2; 3
( 1.Department of Radiology, Hefei Stomatological Hospital, Hefei 230001, Anhui, China; 2.Hefei Dental Clinical College of Anhui Medical University, Hefei 230001, Anhui, China; 3.Second Department of Dental Pulp, Hefei Stomatological Hospital, Hefei 230001, Anhui, China )
关键词:
锥形束CT; 上颌窦; 上颌窦后动脉; 上颌窦外侧壁
Keywords:
cone-beam computed tomography;  maxillary sinus;  posterior maxillary sinus artery;  lateral wall of maxillary sinus
分类号:
R782.2
文献标志码:
A
摘要:
目的：采用锥形束计算机断层扫描（Cone-beam computed tomography，CBCT）在上颌第一磨牙位点研究上颌窦动脉 及相关解剖特点。方法：在2020年1月-2022年8月合肥市口腔医院影像库中选择上颌第一磨牙缺失就诊于种植科的363例患 者（共500个上颌窦，其中男181例，女182例），测量上颌窦动脉直径、动脉处相对应的上颌窦外侧壁的厚度、上颌窦窦底 至牙槽嵴顶距离L1、外侧壁平面上颌窦动脉至上颌窦底的距离L2，对各测量值进行统计分析，并评估手术中出血风险。结果： 上颌窦动脉直径平均为（1.14±0.45）mm，不同性别之间的平均直径无差异性。上颌窦外侧壁厚度平均为（1.79±0.45）mm， 上颌窦动脉直径与上颌窦外侧壁厚度有相关性。L1平均为（5.30±2.87）mm，58.14%的患者需行上颌窦外提术；L2平均为 （8.53±3.08）mm。不同性别的上颌窦外侧壁厚度、L1有差异性。结论：CBCT可清晰地观察到上颌窦动脉的位置等种植相关 解剖特点，以及可以直接测量相关指标，其三维影像可为临床种植手术提供术前指导、评估相关手术风险。
Abstract:
Objective Cone-beam computed tomography (CBCT) was used to study the maxillary sinus artery and its related anatomical features at the site of the maxillary fi rst molar. Methods From January 2020 to August 2022, 363 patients (including 500 maxillary sinuses, including 181 males and 182 females) with missing maxillary first molar were selected from the image database of Hefei Stomatological Hospital. The diameter of maxillary sinus artery, the thickness of the lateral wall of maxillary sinus corresponding to the artery, the distance L1 from the bottom of maxillary sinus to the top of alveolar ridge, and the diameter of maxillary sinus artery from the lateral wall plane to the bottom of maxillary sinus were measured. Results The average diameter of maxillary sinus artery was (1.14±0.45) mm, and there was no difference between the sexes. The average thickness of lateral wall of maxillary sinus is (1.79±0.45) mm, and the diameter of maxillary sinus artery is related to the thickness of lateral wall of maxillary sinus. The average distance L1 from the base of maxillary sinus to alveolar ridge is (5.30±2.87) mm, and 58.14% of them need maxillary sinus extraction. The average distance L2 from the maxillary sinus artery to the maxillary sinus fl oor on the lateral wall plane is (8.53±3.08) mm. The lateral wall thickness and L1 of maxillary sinus are diff erent in diff erent sexes. Conclusion CBCT can clearly observe the anatomical characteristics related to implantation, such as the location of maxillary sinus artery, and can directly measure related indexes. Its three-dimensional image can provide preoperative guidance for clinical implantation surgery and evaluate related surgical risks.

相似文献/References:

[1]徐建光,沈 军,张 政,等. 不同垂直骨面型患者颌骨骨皮质厚度的锥形束CT研究[J].中国美容医学,2019,(04):74.
　XU Jian-guang,SHEN Jun,ZHANG Zheng,et al. Study of Cortical Bone Thickness in Different Vertical Facial Types Using Cone-beamComputed Tomography[J].Medical Aesthetics and Beauty,2019,(6):74.
[2]王智军,罗小安,史建陆. 错牙合畸形患者颞下颌关节对称性的锥形束CT研究[J].中国美容医学,2019,(04):77.
　WANG Zhi-jun,LUO Xiao-an,SHI Jian-lu. Study on Symmetry of Temporomandibular Joint in Malocclusion Patient with CBCT[J].Medical Aesthetics and Beauty,2019,(6):77.
[3]李月红,赵 珍,贾 俊,等.乌鲁木齐地区200例成人颏孔区CBCT测量分析[J].中国美容医学,2019,(07):95.
　LI Yue-hong,ZHAO Zhen,JIA Jun,et al.Mental Foramen Regions of 200 Adults in Urumqi Evaluated by CBCT[J].Medical Aesthetics and Beauty,2019,(6):95.
[4]张 正,张晓筱,桑媛媛,等. 青少年不同矢状骨面型中上颌后牙牙根与上颌窦底的位置关系[J].中国美容医学,2019,(12):73.
　ZHANG Zheng,ZHANG Xiao-xiao,SANG Yuan-yuan,et al. Relationship Between the Roots of Posterior Teeth and the Maxillary Sinus inAdolescents with Different Sagittal Facial Patterns[J].Medical Aesthetics and Beauty,2019,(6):73.
[5] 张明灿 张馨匀 综述,李洪发 审校. 牙弓横向宽度不足的测量分析进展[J].中国美容医学,2020,(7):183.
　 ZHANG Ming-can,ZHANG Xin-yun,LI Hong-fa. Measurement Progress of Dental Transverse Width Defi ciency[J].Medical Aesthetics and Beauty,2020,(6):183.
[6] 陈玉萍,陈雪婷. 成人安氏Ⅱ2错牙合颧牙槽嵴区骨量的CBCT评价[J].中国美容医学,2020,(9):106.
　 CHEN Yu-ping,CHEN Xue-ting. A CBCT Study on the Alveolar Bone Thickness of Infrazygomatic Crest (IZ crest) inAdults of Angle’s Ⅱ2 Malocclusion[J].Medical Aesthetics and Beauty,2020,(6):106.
[7] 范孟钊,国正则,侯新华,等. 前牙即刻种植修复对外伤脱落牙患者美学修复效果的影响[J].中国美容医学,2020,(10):123.
　 FAN Meng-zhao,GUO Zheng-ze,HOU Xin-hua,et al. Effect of Immediate Implant Aesthetic Restoration Technology on AestheticRestoration Effect and Vertical Absorption Degree of Alveolar Bone in Patients withSingle Anterior Teeth Trauma[J].Medical Aesthetics and Beauty,2020,(6):123.
[8] 刘 展,刘亚丽,余 兵. 应用CBCT评价无托槽隐形矫治压低上颌伸长磨牙的临床疗效[J].中国美容医学,2021,(5):119.
　 LIU Zhan,LIU Ya-li,YU Bing. CBCT Evaluation of the Clinical Efficacy of Clear Aligner on Overerupted MaxillaryMolars Intrusion[J].Medical Aesthetics and Beauty,2021,(6):119.
[9]黎 淼,白雨豪,秦 璐,等.上颌阻生尖牙引起邻牙牙根外吸收的危险因素分析?/html>[J].中国美容医学,2021,(11):131.
　LI Miao,BAI Yu-hao,QING Lu,et al.Analysis of the Potential Risk Factors for Impacted Canine-associated Root Resorption?/html>[J].Medical Aesthetics and Beauty,2021,(6):131.
[10]刘梦娜,游 希.两种种植导板对牙种植体植入精度的影响比较[J].中国美容医学,2022,(1):133.
　LIU Mengna,YOU Xi.Comparison of the Influence of Two Kinds of Implanted Guiding Plate on Implantation Precision of Dental Implant[J].Medical Aesthetics and Beauty,2022,(6):133.

更新日期/Last Update: 2024-06-14