• 论著 •    

单侧完全性唇腭裂患者腺样体大小的测量分析

任中玉   

  1. 天津医科大学
  • 收稿日期:2010-05-31 修回日期:2010-06-02 出版日期:2010-08-15 发布日期:2010-08-15
  • 通讯作者: 任中玉

The Analysis of the size of adenoidal tissues of subjects with unilateral cleft lip and palate

REN Zhong Yu   

  • Received:2010-05-31 Revised:2010-06-02 Published:2010-08-15 Online:2010-08-15
  • Contact: REN Zhong Yu

摘要: 目的:腺样体肥大是引起颌面畸形的重要因素之一,通过X线头颅侧位片测量技术,对单侧完全性唇腭裂患者腺样体形态大小进行测量分析,并与无唇腭裂对照组比较,观察单侧完全性唇腭裂患者腺样体的形态特点,为唇腭裂错牙合畸形的诊断、治疗及预后提供理论参考。方法:从错牙合 畸形患者中选取研究对象85例。单侧完全性唇腭裂男性患者42例;无唇腭裂对照组43例。进行头影测量分析,对测量结果进行统计学分析。结果:单侧完全性唇腭裂儿童组与对照组相比,腺样体大小明显增大。单侧完全性唇腭裂青少年组与对照组相比,腺样体大小无明显差异。单侧完全性唇腭裂儿童组与青少年组相比:腺样体大小明显增大。结论:与无唇腭裂儿童相比,单侧完全性唇腭裂儿童的腺样体组织在鼻腔通气道所占空间要显著增大。在唇腭裂患者的正畸治疗中,应注意腺样体肥大对口腔颌面部生长发育的影响。单侧完全性唇腭裂患者腺样体组织随年龄增长逐渐萎缩,至青少年期与正常人趋于相似。在临床中要考虑到腺样体萎缩对患者的影响,预防因此而继发的腭咽闭合不全。

关键词: 单侧完全性唇腭裂, X线头颅侧位片, 腺样体大小

Abstract: Objective: Adenoidal hypertrophy is a considerable causation of maxillofacial abnormalities. The purpose of this study was to compare dimensionally the sizes of the adenoidal tissues and in juvenile and adolescent people with and without cleft lip and palate (CLP), to observe the feature speciality of the people with cleft lip, providing theory reference for the clinical diagnosis and treatment reference design theory of the malocclusion with cleft lip. Methods: The subjects were selected from 85 patients with malocclusion, 43 patients with CLP; 42 patients without CLP . An analysis of variance was used to test for significant differences in mean values . Results: Adolescents with CLP compared with control group: the size of adenoid is obviously increasing. Juveniles with CLP compared with control group: the size of adenoid has no obviously difference. Adolescents with CLP compared with juveniles with CLP: the size of adenoid is obviously increasing .Conclusions: CLP juveniles compared with control group: the thickness of adenoid、the area of adenoid、the ratio of thickness of adenoid and the width of pharyngonasal cavity are obviously increasing . The larger adenoidal tissues in the CLP/j group, compared with those in the control/j group, decreased to a similar size with aging.

Key words: unilateral cleft lip and palate, cephlometric, the size of adenoidal tissues.