华西口腔医学杂志

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山羊上颌窦及额窦黏膜厚度与可承受压强相关研究

吕源1  韩奕诗2  李岩峰2  任桓3  樊佳东2  刘茜4  胡品2  包文雅2   

  1. 1.辽宁医学院解放军总医院第一附属医院研究生培养基地,锦州 121000;2.解放军总医院第一附属医院口腔科,北京 100048;3.78086部队50分队卫生所,成都 610017;4.解放军总医院第一附属医院病理科,北京 100048
  • 出版日期:2016-02-01 发布日期:2016-02-01
  • 通讯作者: 李岩峰,副教授,博士,E-mail:m.god@yeah.net
  • 作者简介:吕源,住院医师,硕士,E-mail:lvyuan586@163.com
  • 基金资助:

    解放军总医院临床扶植基金( 2014FC-SXYY-1003);首都卫生发展科研专项(首发2014-4-5022)

Correlation studies in goats about the membrane thickness and pressure of the maxillary and frontal sinuses

Lü Yuan1, Han Yishi2, Li Yanfeng2, Ren Huan3, Fan Jiadong2, Liu Qian4, Hu Pin2, Bao Wenya2   

  1. 1.Master’s Training Site, First Affliated Hospital of Peoples Liberation Army General Hospital, Liaoning Medical Universiy, Jinzhou 121000, China; 2. Dept. of Stomatology, The First Hospital Affiliated to The PLA General Hospital, Beijing 100048, China; 3. Clinic of Squadron 50 of Unit 78086, Chengdu 610017, China; 4. Dept. of Pathology, The First Hospital Affiliated to The PLA General Hospital, Beijing 100048, China
  • Online:2016-02-01 Published:2016-02-01

摘要:

目的  探讨山羊上颌窦及额窦黏膜的厚度及可承受压强的差异,并分析造成这种差异的可能原因,为上颌窦提升术中涉及黏膜问题时提供理论依据和指导。方法  从获取的每块黏膜上切取 2块所需大小的黏膜,中性甲醛溶液固定 24 h后,将黏膜制成组织切片,用于测量黏膜厚度,另一块黏膜用于可承受压强数值的测定,再进行二者相关性的分析,选择合适的统计方法和软件。结果  山羊上颌窦顶、上颌窦底、额窦黏膜厚度分别为(410.03±65.97)、(461.33±91.37)、(216.90±46.47) μm。山羊上颌窦顶、上颌窦底、额窦黏膜可承受压强分别为(260.08±80.12)、(306.90±94.37)、(121.72±31.72) kPa。上颌窦顶与额窦、上颌窦底与额窦、上颌窦顶与窦底黏膜的厚度均值之间差异有统计学意义(P<0.05),可承受压强均值之间差异也有统计学意义(P<0.05)。结论  上颌窦顶、底黏膜较额窦黏膜厚度及可承受压强均大,上颌窦底黏膜较上颌窦顶黏膜厚度和可承受压强稍偏大,并且窦黏膜可承受压强与黏膜厚度之间成正相关关系。

关键词: 山羊, 上颌窦底提升, 窦黏膜, 黏膜厚度, 可承受压强

Abstract:

Objective  This study aimed to explore the differences of membrane thickness and pressure on the paranasal sinus membrane in goats and analyze their causes. The results can provide theoretical basis and guidance for the issues of the maxillary sinus floor augmentation related to the membrane. Methods  The membrane was cut into two sizes from every sinus membrane. The membrane was fixed in formalin to obtain tissue specimens for the membrane thickness study and pressure study. The correlation between the two parameters was then analyzed, and appropriate statistical methods and software were selected. Results  The top of maxillary sinus, the bottom of maxillary sinus and the frontal sinus membrane thickness were (410.03±65.97), (461.33±91.37), (216.90±46.47) μm. The pressure were (260.08±80.12), (306.90±94.37), (121.72±31.72) kPa. The mean differences of the membrane thickness between the top of the maxillary sinus and the frontal sinus, bottom and frontal, and top and bottom were statistically significant (P<0.05). The mean differences in membrane pressure were also statistically significant (P<0.05). Conclusion  The membrane thickness and pressure of the top and bottom of the maxillary sinus are higher than those of the frontal sinus membrane. However, the thickness and pressure of the bottom membrane are slightly higher than those of the top membrane. Pressure and membrane thickness are positively correlated in the sinus membrane.

Key words: goat, maxillary sinus floor elevation, sinus membrane, membrane thickness, pressure