中国口腔种植学杂志 ›› 2019, Vol. 24 ›› Issue (3): 101-105.DOI: 10.12337/zgkqzzxzz.2019.09.001

• 临床研究 •    下一篇

CBCT 对上颌窦底骨分嵴的研究分析在牙种植术中的应用

张川, 青薇, 甘升远   

  1. 646000 四川泸州西南医科大学(张川, 青薇);四川乐山乐山市人民医院(甘升远)
  • 出版日期:2019-09-10 发布日期:2021-09-07
  • 通讯作者: 甘升远。

The measurement of maxillary sinus septa using conebeam CT and its application analysis for dental implant

ZHANG Chuan, QING Wei, GAN Shengyuan   

  1. Southwest Medical University,Luzhou 646000, Sichuan Province, China
  • Online:2019-09-10 Published:2021-09-07

摘要: 目的: 通过锥形束CT影像研究上颌窦区的解剖结构特点,评估上颌窦底壁骨分嵴的分布情况,为上颌窦提升种植手术提供依据。方法: 纳入2017年9 月至2018 年9月在四川省人民医院口腔科就诊的病人248例,对其CBCT 资料进行统计分析,初步观察评估和分析上颌窦底壁骨分嵴的分布情况。结果: 符合纳入标准的患者CBCT图像共计248例(其中男性患者144例,女性患者104例),骨分嵴的发生率为27.84%。36例出现一个骨分嵴(14.52%); 28 例发生两个骨分嵴(8.87%); 4 例出现3 个骨分嵴(2.42%)。其在上颌窦底壁中部的发生率最高(54.0%),前部为24.0%,后部为22.0%,矢状面上的平均高度左侧为(6.20± 2.82)mm,右侧为(5.83± 1.80)mm。骨分嵴中女性占26.47%,男性占73.53%,男女上颌窦骨分嵴统计结果存在统计学差异(P< 0.05)提示性别与分嵴率存在统计学差异;同时本研究显示缺牙与骨分嵴的出现无统计学相关性。结论: 上颌窦骨分嵴发生率较高,形态走向复杂,因此上颌窦提升术前,使用CBCT对其骨分嵴进行评估是必不可少的。

关键词: 上颌窦, 骨分嵴, CBCT, 口腔种植

Abstract: Objective: The purpose of this study was to determine the anatomical structure of maxillary sinus septa using cone beam computed tomography(CBCT) and assess its prevalence and location for maxillary sinus surgical interventions. Methods: Maxillary sinus images of 248 patients who underwent CBCT scan in Sichuan Provincial Hospital between September of 2017 and September of 2018 were collected. This study was to investigate the relationship between the anatomical variations of maxillary sinus septa and conditions of gender, location and absence of teeth. Results: There were a total of 248 patients(male 144, female 104),and the prevalence of maxillary sinus septa was 27.42%. Among the 248 patients, there were 36 patients with one maxillary sinus septa(14.52%), 28 patients with two sinus septa(8.87%), 4 pa- tients with three sinus septa(2.42%). The location of septa observed in all study groups demonstrated a greater prevalence(51.92%) in the molar region than in the pre-molar and post-molar region, which re- spectively were 24.0% and 22.0%. The average height on the sagittal plane was(6.20±2.82)mm to the left, while the right side is(5.83±1.80)mm. The percentage of bone crest in female was 26.47% and that in male was 73.53%. There was a statistical difference between male and female in maxillary sinus bone crest(P<0.05). At the same time, this study showed no statistically significant differences regard to loca- tion, but to gender. Conclusion: Septa of various heights and courses developed in all parts of the maxil-lary sinus. Therefore, to prevent possible complications during sinus surgery,CBCT is a good choice to observe the septa in maxillary sinus.

Key words: maxillary sinus, septa, CBCT, implant

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