对比研究快慢速扩弓治疗对鼻腔及上颌骨结构的影响

doi:10.7518/hxkq.2019.05.015

华西口腔医学杂志 ›› 2019, Vol. 37 ›› Issue (5): 533-536.doi: 10.7518/hxkq.2019.05.015

对比研究快慢速扩弓治疗对鼻腔及上颌骨结构的影响

刘俊玲¹(),李洪发²,闫卉¹

1.天津市南开医院
2.天津医科大学口腔医院,天津 300000

收稿日期:2019-07-01 修回日期:2019-08-13 出版日期:2019-10-01 发布日期:2019-10-15
通讯作者: 刘俊玲 E-mail:493757935@qq.com
作者简介:刘俊玲,主治医师,硕士,E-mail：493757935@qq.com

Comparing the effects of fast and slow expansion on nasal cavity and maxilla structure

Liu Junling¹(),Li Hongfa²,Yan Hui¹

1. Tianjin Nankai Hospital, Tianjin 300000, China
2.Stomatological Hospital, Tianjin Medical University, Tianjin 300000, China

Received:2019-07-01 Revised:2019-08-13 Online:2019-10-01 Published:2019-10-15
Contact: Junling Liu E-mail:493757935@qq.com

摘要/Abstract

摘要：

目的比较快慢速扩弓治疗对鼻腔结构改建的影响。方法选取牙弓狭窄者40例,随机分为2组,术前和术后分别拍摄锥形束CT,比较治疗前后鼻腔结构的变化。结果快速扩弓组较慢速扩弓组基骨弓宽度和鼻腔骨性结构打开量大;上颌骨宽度和鼻腔软组织变化无明显差异。结论快速扩弓治疗更有益于改善鼻腔功能。

关键词: 快速扩弓, 慢速扩弓, 鼻腔, 锥形束CT, 鼻通气量

Abstract:

Objective This study aims to compare the effects of fast and slow expansion on nasal cavity structure. Methods A total of 40 patients were selected and randomly divided into two groups. Cone-beam computer tomography (CBCT) was obtained before and after surgery and used for comparing the changes in nasal structure before and after treatment. Results Fast expansion had resulted in greater changes in the basilar and nasal bone arch extension structures than slow expansion. No significant difference at maxillary width and nasal parenchyma. Conclusion Rapid expansion therapy has more beneficial effects on nasal function.

Key words: fast expansion, slow expansion, nasal cavity, cone-beam computer tomography, nasal ventilation

中图分类号:

R783.5

刘俊玲,李洪发,闫卉. 对比研究快慢速扩弓治疗对鼻腔及上颌骨结构的影响[J]. 华西口腔医学杂志, 2019, 37(5): 533-536.

Liu Junling,Li Hongfa,Yan Hui. Comparing the effects of fast and slow expansion on nasal cavity and maxilla structure[J]. West China Journal of Stomatology, 2019, 37(5): 533-536.

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参考文献 17

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上颌骨宽度	快速组/%	慢速组/%	t值	P值
上颌复合体颧突（M1)	18.7±1.5	18.3±1.7	0.7	>0.05
上颌复合体中部（M2)	22.4±2.9	21.7士3.5	0.6	>0.05
上颌复合体颧牙槽嵴（M3 )	27.8士3.1	23.8±2.4	3.9	<0.05

上颌基骨弓宽度	快速组/%	慢速组/%	t值	P值
尖牙基骨（A3)	32.0±2.4	26.4±3.7	4.8	<0.05
第一前磨牙基骨（A4)	28.2士4.6	24.2±2.5	3.0	<0.05
第二前磨牙基骨（A5)	26.3±1.8	23.1±2.8	3.7	<0.05
第一磨牙基骨（A6)	25.8±2.3	22.7士1.5	4.5	<0.05

鼻腔宽度	快速组/%	慢速组/%	t值	P值
前鼻腔侧壁	9.4±1.8	4.9士2.8	5.3	<0.05
前鼻腔基底	21.1±2.3	19.4士1.9	2.2	<0.05
后鼻腔侧壁	24.6士3.5	16.9士2.4	7	<0.05
后鼻腔基底	21.5±2.6	18.3士4.9	2.3	<0.05
鼻腔软组织侧壁	3.5士1.9	4.2士2.2	0.9	>0.05
鼻腔软组织基底	7.5士2.6	5.3士1.2	2.9	<0.05

对比研究快慢速扩弓治疗对鼻腔及上颌骨结构的影响

Comparing the effects of fast and slow expansion on nasal cavity and maxilla structure

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