采用CT三维图像测量国人颞下颌关节假体固定区域形态学参数及其临床意义

doi:10.13481/j.1671-587x.20170524

吉林大学学报(医学版) ›› 2017, Vol. 43 ›› Issue (05): 985-989.doi: 10.13481/j.1671-587x.20170524

采用CT三维图像测量国人颞下颌关节假体固定区域形态学参数及其临床意义

白芃^1,2, 于镇滔¹, 孙嘉良¹, 程凯亮³, 韩莹莹⁴, 李幼琼¹

1. 吉林大学基础医学院人体解剖学教研室, 吉林长春 130021;
2. 山西医科大学汾阳学院人体解剖学教研室, 山西汾阳 032200;
3. 吉林大学中日联谊医院放射线科, 吉林长春 130033;
4. 吉林大学中日联谊医院神经内科, 吉林长春 130033

收稿日期:2017-02-26 出版日期:2017-09-28 发布日期:2017-09-29
通讯作者: 韩莹莹,主治医师(Tel:0431-85621526,E-mail:626912497@qq.com);李幼琼,教授,硕士研究生导师(Tel:0431-85619466,E-mail:youqiong@jlu.edu.cn) E-mail:626912497@qq.com;youqiong@jlu.edu.cn
作者简介:白芃(1980-),女,山西省太原市人,讲师,医学硕士,主要从事断层影像解剖学方面的研究。
基金资助:
卫计委科教司科研基金项目资助课题（200903039）

Measurement of morphologic parameters of fixed areaof Chinese temporomandibular joint prosthesis with three-dimensional computed tomography images and its significance

BAI Peng^1,2, YU Zhentao¹, SUN Jialiang¹, CHENG Kailiang³, HAN Yingying⁴, LI Youqiong¹

1. Department of Human Anatomy, School of Basic Medical Sciences, Jilin University, Changchun 130021, China;
2. Department of Human Anatomy, Fenyang College, Shanxi Medical University, Fenyang 032200, China;
3. Department of Radiology, China-Japan Union Hosipital, Jilin University, Changchun 130033, China;
4. Department of Neurology, China-Japan Union Hosipital, Jilin University, Changchun 130033, China

Received:2017-02-26 Online:2017-09-28 Published:2017-09-29

摘要/Abstract

摘要： 目的：采用计算机断层扫描（CT）重建技术测量国人颞下颌关节（TMJ），阐明国人TMJ假体的安全固定区域。方法：对100例成年人头部进行CT扫描和三维重建，测量双侧TMJ假体固定区域中颧弓部分的宽度、厚度和角度h1、h2、h3、h4、d1、d2、d3、d4、ab、bc、cd、ad、α和β；关节窝部分的宽度和高度BD和h；下颌支部分的宽度、厚度和角度S、h5、h6、h7、l1、l2、l3、l4、l5、m1、m2、m3、m4、m5和γ。所有测量指标依据方向分为左右侧2组，采用SPSS 19.0软件比较左右侧2组测量指标的差异。结果：测得TMJ颧弓、关节窝和下颌支假体固定区域部分的测量指标h1、h2、h3、h4、d1、d2、d3、d4、ab、bc、cd、ad、α、β、BD、h、S、h5、h6、h7、l1、l2、l3、l4、l5、m1、m2、m3、m4、m5和γ的数据，左右侧2组各指标测量值比较差异均无统计学意义（P > 0.05）；颧弓部分h2的宽度大于h3（P=0.048），d3的宽度大于d4（P < 0.01）。结论：采用CT三维图像得到了国人TMJ假体安全固定区域的测量数据。

关键词: 形态学, 颞下颌关节假体, 颞下颌关节, 计算机断层扫描

Abstract: Objective: To measure the morphologic data of Chinese temporomandibular joint (TMJ) with computed tomography (CT) reconstruction technology, and to clarify the safe area for the fixation of Chinese temporomandibular joint prosthesis. Methods: A total of 100 adult skulls were scanned by CT and reconstructed.The width,thickness and angle h1,h2,h3,h4,d1,d2,d3,d4,ab,bc,cd,ad,αandβof zygomatic arch,the width and height BD and h of articular fossa and the width,thickness and angle S,h5,h6,h7,l1,l2,l3,l4,l5,m1,m2,m3,m4,m5 and γ of mandible in the fixed area of the TMJ prosthesis were measured; all the measurement indexes were divided into left and right groups by direction, and SPSS 19.0 software was used for the comparion of the measurement between left and right groups. Results: There were no statistical differences in the measurement index values of h1,h2,h3,h4,d1,d2,d3,d4,ab,bc,cd,ad,α,β,BD,h,S,h5,h6,h7,l1,l2,l3,l4,l5,m1,m2,m3,m4,m5 and γ in zygomatic arch, articular fossa and mandible in the fixed area of the TMJ prosthesis between left and right groups (P>0.05); the width of h2 was longer than that of h3 in zygomatic arch (P=0.048); the thickness of d3 was thicker than that of d4 (P<0.01). Conclusion: The measurement data of TMJ fixed area is obtained with three-dimensional CT images.

Key words: morphology, temporomandibular joint, temporomandibular joint prosthesis, computed tomography

中图分类号:

R322.833

白芃, 于镇滔, 孙嘉良, 程凯亮, 韩莹莹, 李幼琼. 采用CT三维图像测量国人颞下颌关节假体固定区域形态学参数及其临床意义[J]. 吉林大学学报(医学版), 2017, 43(05): 985-989.

BAI Peng, YU Zhentao, SUN Jialiang, CHENG Kailiang, HAN Yingying, LI Youqiong. Measurement of morphologic parameters of fixed areaof Chinese temporomandibular joint prosthesis with three-dimensional computed tomography images and its significance[J]. Journal of Jilin University Medicine Edition, 2017, 43(05): 985-989.

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采用CT三维图像测量国人颞下颌关节假体固定区域形态学参数及其临床意义

Measurement of morphologic parameters of fixed areaof Chinese temporomandibular joint prosthesis with three-dimensional computed tomography images and its significance

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