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论文摘要

正畸正颌联合治疗颜面不对称患者头颅定位后前位片的非对称性分析

Asymmetric index analysis on the orthodontic-orthognathic treatment of facial asymmetry patients in skull positioning posterior-anterior radiographs

作者:刘奕 陈燕 包扬

Author:Liu Yi, Chen Yan, Bao Yang

收稿日期:2013-04-16          年卷(期)页码:2014,32(2):138-138-145

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:颜面不对称,后前位片,正畸正颌联合治疗,

Key words:facial asymmetry,posterior-anterior radiograph,orthodontic-orthognathic treatment,

基金项目:

辽宁省科学技术计划基金资助项目(2013225090);辽宁省自然科学基金资助项目(201202290)

中文摘要

目的 分析正畸正颌联合治疗的颜面不对称患者头颅定位后前位片测量指标的非对称性。方法 选取不同程度颜面不对称患者45例,对所有患者治疗前后头颅定位后前位片进行测量,采用单样本t检验将治疗前测量指标的非对称率与个别正常人群的非对称率进行比较,通过相关系数的分析,归纳出颜面不对称患者倾向于采用正畸正颌联合治疗的测量指标,并得出其参考值。同时通过配对t检验比较治疗前后测量指标非对称率的差异。结果 有14项指标治疗前的非对称率与个别正常人群的非对称率相比差异有统计学意义(P结论 颜面部的不对称主要集中在面下1/3,以下颌体部不对称为主要表现。当与Me[X]具有高度直线相关关系的指标Ag[X]的非对称率大于参考值下限11.31%,Go[X]的非对称率大于参考值下限9.79%,且Me[X]大于参考值下限5.2 mm时,该患者的治疗方案更倾向于正畸正颌联合治疗。

英文摘要

Objective To analyze the asymmetry of measurements in facial asymmetry patients with skull positioning posterior-anterior radiographs after orthodontic-orthognathic treatment.Methods Posterior-anterior cephalometric radio-graphy and cephalometric analysis were performed in forty-five patients with different degrees of facial asymmetry. A single sample t-test was conducted to compare the asymmetry of measurements before treatment and individual normal occlusion. The measurement and reference values in facial asymmetry patients who underwent orthodontic-orthognathic treatment were summated by analyzing the correlation coefficient. The paired t-test was employed to compare the difference between the two groups before and after the treatment.Results Fourteen measurements were significantly different before the treatment and individual normal occlusion (PConclusion Facial asymmetry is mainly concentrated in one-third of the surface, primarily manifested in the mandibular body. Orthodontic-orthognathic treatment is preferred when Ag[X] is greater than the minimum reference value of 11.31%, Go[X] is greater than 9.79%, and Me[X] is greater than 5.2 mm.

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