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安氏Ⅲ类成人患者颏部形态与是否手术治疗的相关性研究

李孝英,彭诚   

  1. 天津市医科大学第二医院
  • 收稿日期:2010-01-26 修回日期:2010-03-17 出版日期:2010-07-15 发布日期:2010-07-15
  • 通讯作者: 李孝英

Correlative Study between Shape of Chin and probability of Orthognathic Surgery for Class Ⅲ Adult Patients

  • Received:2010-01-26 Revised:2010-03-17 Published:2010-07-15 Online:2010-07-15

摘要: 目的:研究分析安氏Ⅲ类成人患者颏部形态对临床治疗中判别手术与否的相关性,为临床诊断和治疗建立一种可行的判断方法。方法:选安氏Ⅲ类成人患者61名,31人接受单纯正畸治疗,30人接受正畸正颌联合手术治疗。两组均选取能反映软硬组织面型特征与本研究密切相关的指标进行X线头影测量分析,根据治疗前头颅侧位片进行测量研究,所得数据应用SPSS软件进行t检验、多因素判别分析及相关分析。结果:1. B-Pg、Y、Co-Go、ODI、NSAr与是否手术密切相关。2.B-Pg与其它测量项目中的MP/SN、MP/FH、MP/PP、L1/MP、ODI、ArGoGn密切相关,颏部形态对决定是否手术有高度相关性。结论:下颌颏部形态与是否手术治疗成人安氏Ⅲ类错颌呈高度正相关关系,即颏部突度(B-Pg)越大,手术治疗的可能性越大。

关键词: 颏部, 成人, 安氏Ⅲ类错颌, 手术, 相关性

Abstract: [Abstract] Objective: The purpose of this study was to investigate the correlation between shape of chin and probability of orthognathic surgery for class Ⅲ adult patients .To develop a discriminant method to predict probability of Clinical diagnosis and treatment. Methods: A total of 61 class Ⅲ adult patients were collected from the orthodontic department .thirty-one patients were treated by orthodontic appliance only, and others were treated with orthodontic and orthognathic surgery. Significant difference in age and sex distribution were not found between the two groups. Conventional Cephalometric analysis was made to compare hard and soft tissue structures before treatment between the two groups. The mean and standard deviation of each measurement were calculated for all the variables with SPSS. The correlation analysis, t-test and Discriminant Analysis were applied. Results: 1.Statistical analysis showed that the probability of orthognathic surgery is significantly correlated with B-Pg、Y、Co-Go、ODI、NSAr。2. The results showed that the B-Pg is closely correlated with MP/SN、MP/FH、MP/PP、L1/MP、ODI、ArGoGn in the orthognathic surgery group. Conclusion: The Shape of chin plays an important role in determining treatment plan about orthognathic surgery or orthodontic only for class Ⅲ adult patients. The probability of orthognathic surgery increases with the increasing in the degree of chin protrusion.

Key words: chin, adult patients, class Ⅲ malocclusion, surgery, relationship