华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

64层螺旋CT对颌骨埋伏牙定位的应用研究

孙强1 方政1 苏蕾2 赵军方1 谢卫红1 李新明1   

  1. 1.郑州大学第一附属医院口腔颌面外科; 2.放射科, 河南郑州450052
  • 收稿日期:2010-12-25 修回日期:2010-12-25 出版日期:2010-12-20 发布日期:2010-12-20
  • 通讯作者: 李新明,Tel:0371-66862252
  • 作者简介:孙强(1985—),男,河南人,硕士
  • 基金资助:

    上海市口腔医学重点实验室开放课题基金资助项目(S-30206)

The application of three-dimensional reconstruction technique of 64-slices spiral CT in locating of embedded teeth in jaws

SUN Qiang1, FANG Zheng1, SU Lei2, ZHAO Jun-fang1, XIE Wei-hong1, LI Xin -ming1   

  1. 1. Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China; 2. Dept. of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
  • Received:2010-12-25 Revised:2010-12-25 Online:2010-12-20 Published:2010-12-20
  • Contact: LI Xin -ming,Tel:0371-66862252

摘要:

目的探讨64层螺旋CT三维重建技术在颌骨内埋伏牙定位中的应用。方法对27例埋伏牙患者行64层螺旋CT扫描,通过容积再现、最大密度投影、多层面重建和曲面重建等技术对扫描图像进行后期处理,通过各种技术的综合应用,对颌骨内埋伏牙进行准确定位。结果27例患者共有41颗埋伏牙。通过64层螺旋CT多种重建技术的组合应用,均得以清晰显示埋伏牙的位置、形态、大小、萌出方向及其与周围组织的关系,对选择正畸牵引还是外科手术治疗埋伏牙提供了依据。结论64层螺旋CT扫描和后处理技术可提供埋伏牙位置的准确数据,为治疗方案的选择提供客观依据,具有重要的临床应用价值。

关键词: 64层螺旋CT, 体层摄影术, 多平面重建技术, 埋伏牙

Abstract:

Objective To study the allocation of embedded teeth in jaws using the three-dimensional reconstruction technique of 64-slices spiral CT. Methods 27 cases were examined by helical scanning of axial view volume scan CT. The exact localization of the embedded teeth in jaws was acquired by using volume rendering(VR), maximum intensity projection(MIP), multiplanar reformation(MPR) and curve plane reconstruction(CPR). Results The localization, morphous, size, erupted orientation and relationship between surrounding tissues of the 41 embedded teeth in 27 patients were displayed by effectually using the images of VR, MIP, MPR and CPR. The election of orthodontic treatment or surgical intervention was decided by using 64-slices spiral CT. Conclusion The exact data and objective evidence of the treatment plan could be provided by 64-slices spiral CT which will have important clinical application.

Key words: 64-slices spiral CT, tomography, multiplanar reconstruction technique, embedded tooth