腭裂硬腭后缘裂隙宽度与上颌结节后缘平面宽度比例变化规律的研究

doi:10.7518/hxkq.2019.04.013

华西口腔医学杂志 ›› 2019, Vol. 37 ›› Issue (4): 408-411.doi: 10.7518/hxkq.2019.04.013

腭裂硬腭后缘裂隙宽度与上颌结节后缘平面宽度比例变化规律的研究

刘楚娴,郑谦(),李杨,李精韬,郭春丽

口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心四川大学华西口腔医院唇腭裂外科,成都 610041

收稿日期:2018-12-05 修回日期:2019-04-02 出版日期:2019-08-01 发布日期:2019-08-23
通讯作者: 郑谦 E-mail:zq652@163.com
作者简介:刘楚娴,博士,E-mail：Liuchuxian163@163.com
基金资助:
2016年度国家重点研发计划(2016YFC0905200)

Varying width ratio patterns of posterior hard palate cleft to posterior maxillary tuberosity plane in cleft palate

Chuxian Liu,Qian Zheng(),Yang Li,Jingtao Li,Chunli Guo

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2018-12-05 Revised:2019-04-02 Online:2019-08-01 Published:2019-08-23
Contact: Qian Zheng E-mail:zq652@163.com
Supported by:
National Key Research and Develop Plan in 2016(2016YFC0905200)

摘要/Abstract

摘要：

目的通过研究单纯性腭裂患者硬腭后缘裂隙宽度与上颌结节后缘平面宽度的比例的增龄性变化,了解患者的腭裂畸形程度和生长发育之间的关联性。方法应用回顾性研究的方法选取581例单纯性腭裂患者,年龄为8个月至38岁,根据术前测量时的年龄段共分为7组。在患者术前采用直接测量法所获得的各项测量数据中,选取上颌结节后缘平面宽度和硬腭裂隙宽度两项,以每位患者的硬腭裂隙宽度除以上颌结节后缘平面宽度的比值（即腭裂指数）来分析腭裂裂隙的相对宽度。结果随着患者年龄增长,腭裂裂隙在上颌所占横向比例增大,即腭裂的畸形程度随患者年龄增长呈现上升趋势。结论本研究证实了单纯性腭裂患者腭裂裂隙宽度和上颌结节后缘平面宽度与患者年龄增长存在关联性,腭裂的严重程度和手术难度会随着患者的年龄增长而逐步加重。

关键词: 腭裂, 上颌骨, 颌面发育, 临床分析

Abstract:

Objective The varying width ratio patterns of posterior hard palate cleft to posterior maxillary tuberosity plane and their relationship with growth and development were studied in specific-age patients with simple cleft palate before surgery to provide a reference for evaluating operation difficulty and predetermining operative period. Methods A total of 581 patients with simple cleft palate who received surgical treatment and are aged 8 months to 38 years participated in this study. All patients were categorized into seven groups based on age at preoperative measurement. The widths of posterior maxillary tuberosity plane and hard palate cleft were selected from the preoperative direct measurements. The relative width ratio of the hard palate to posterior maxillary tuberosity plane in each patient was used to objectively reflect the relative width of cleft palate. Results For patients with simple cleft palate, the widths of posterior maxillary tuberosity plane and hard palate showed remarkably increasing trends. Conclusion The transverse proportion of cleft palate fissure in the upper mandible increases statistically with age, suggesting the need for complex operation.

Key words: cleft palate, maxilla, facial growth, clinical analysis

中图分类号:

R782.2 ⁺2

刘楚娴,郑谦,李杨,李精韬,郭春丽. 腭裂硬腭后缘裂隙宽度与上颌结节后缘平面宽度比例变化规律的研究[J]. 华西口腔医学杂志, 2019, 37(4): 408-411.

Chuxian Liu,Qian Zheng,Yang Li,Jingtao Li,Chunli Guo. Varying width ratio patterns of posterior hard palate cleft to posterior maxillary tuberosity plane in cleft palate[J]. West China Journal of Stomatology, 2019, 37(4): 408-411.

图/表 2

参考文献 12

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组别	上颌结节后缘	硬腭裂隙	腭裂指数
组别	平面宽度/mm	宽度/mm	腭裂指数
1	32.69	8.26	0.252
2	32.89	8.68	0.263
3	35.66	10.20	0.286
4	38.90	11.38	0.293
5	38.08	12.13	0.319
6	43.17	13.57	0.314
7	44.48	13.93	0.313

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腭裂硬腭后缘裂隙宽度与上颌结节后缘平面宽度比例变化规律的研究

Varying width ratio patterns of posterior hard palate cleft to posterior maxillary tuberosity plane in cleft palate

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