腭大神经血管沟及腭穹隆形态间解剖关系的CBCT研究

doi:10.13701/j.cnki.kqyxyj.2018.02.021

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (2): 193-197.DOI: 10.13701/j.cnki.kqyxyj.2018.02.021

腭大神经血管沟及腭穹隆形态间解剖关系的CBCT研究

张瑞¹, 薛绯^2*

1. 首都医科大学附属北京友谊医院口腔科北京 100050;
2. 北京大学口腔医院门诊部牙周科北京 100034;

收稿日期:2017-10-12 出版日期:2018-02-28 发布日期:2018-02-26
通讯作者: 薛绯,E-mail:sophia_604@126.com
作者简介:张瑞(1988~ ),男,北京人,硕士,住院医师,主要从事牙周病学相关方面的临床工作与研究。

Evaluation of Anatomical Variation of Greater Palatine Groove and Its Relationship with Palatal Vault Morphology by Cone-beam Computed Tomography

ZHANG Rui¹, XUE Fei^2*

1. Department of Stomatology, Beijing Friendship Hospital, Capital Medical University. Beijing 100050, China;
2. Department of Periodontology, Peking University Hospital of Stomatology First Clinical Division. Beijing 100034, China.

Received:2017-10-12 Online:2018-02-28 Published:2018-02-26

摘要/Abstract

摘要： 目的:研究汉族青年人群腭大神经血管沟及腭穹窿形态的解剖结构,并探讨其相互关系,为相关口腔治疗提供理论依据。方法:采用CBCT检测214名汉族青年受试者双侧上颌磨牙区腭大神经血管沟的形态、相对位置和表面黏膜厚度,并讨论不同腭穹窿形态对腭大神经血管沟解剖位置的影响。结果:98.0%的男性和98.2%的女性受试者上颌磨牙区腭侧存在至少一条腭大神经血管沟,可根据形态分为凹陷型、带嵴深沟型、双沟型及管状型。男性受试者腭大神经血管沟至对应牙位釉牙骨质界的距离以及第二磨牙处腭大神经血管沟表面黏膜厚度大于女性(P<0.05);腭高耸组腭大神经血管沟至对应磨牙釉牙骨质界的距离大于腭低平组(P<0.05)。结论:汉族青年人群腭大神经血管沟的形态不一,以凹陷型和带嵴深沟型为主,其位置与患者性别和腭穹隆形态有关。CBCT评估可高效准确的定位腭大神经血管沟,辅助制定治疗方案并减少术后并发症。

关键词: CBCT, 腭大神经血管沟, 腭穹隆

Abstract: Objective: To investigate the anatomical variability of greater palatine groove (GPG) and to explore its relationship with palatal vault morphology of young Han population. Methods: Cone-beam computerized tomography (CBCT) images of 214 young patients were measured. The morphology and relative locations, as well as the above mucosal thickness, of GPG were assessed and the relationship of the palate vault morphology was discussed. Results: 98.0% male and 98.2% female subjects were found at least onegreater palatine groove.Depending on morphology, all grooves were divided into depressed type, deepgroove with crest type, double grooves type, and tubular type. The distance between GPG and the relative molar's CE Jin the male was longer thanthat of the female(P<0.05). It was the same with the mucosal thickness of the GPG at the second molar.The distance of GPG-CEJin high-vault group was longer than low-vault group(P<0.05). Conclusion: The morphology of GPG in young Han population is diverse, mainly in depressed type and deep groove with crest type. And the gender and the palatal vault morphology are related to the relative position of GPG. CBCT assessment can be an efficient and accurate used in treatment design and reduce the postoperative complications.

Key words: Cone-beam computed tomography, Greater palatine groove, Palatal vault

中图分类号:

R816.98

张瑞, 薛绯. 腭大神经血管沟及腭穹隆形态间解剖关系的CBCT研究[J]. 口腔医学研究, 2018, 34(2): 193-197.

ZHANG Rui, XUE Fei. Evaluation of Anatomical Variation of Greater Palatine Groove and Its Relationship with Palatal Vault Morphology by Cone-beam Computed Tomography[J]. Journal of Oral Science Research, 2018, 34(2): 193-197.

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腭大神经血管沟及腭穹隆形态间解剖关系的CBCT研究

Evaluation of Anatomical Variation of Greater Palatine Groove and Its Relationship with Palatal Vault Morphology by Cone-beam Computed Tomography

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