面中部软硬组织相关性的Arnett分析  

Arnett analysis of the correlation between midfacial soft and hard tissues

作　　者：张月[1] 陈杰[2] 袁晓[1] 嵇国平[3] 

机构地区：[1]山东省青岛市市立医院口腔科,山东青岛266000 [2]青岛大学附属医学院口腔正畸科,山东青岛266011 [3]上海交通大学医学院附属第九人民医院.口腔医学院口腔正畸科,上海200011

出　　处：《上海口腔医学》2009年第4期365-370,共6页Shanghai Journal of Stomatology

摘　　要：目的:应用Arnett头影测量法研究不同错类型患者面中部软硬组织侧貌的相关性。方法:选取青岛市11～16岁青少年共60例,其中男26例,女34例,根据矢状骨面型ANB分为3组。采用Arnett头影测量法标记右侧面部的标记点,在自然头位下拍摄镜面位的自然头位侧位定位片1张。所得数据用SPSS10.0软件包进行单因素方差分析,并将面中部结构与颅面形态指标进行相关分析。结果:根据ANB进行分组,覆、覆盖、眶缘点、颧骨点、下切牙点、下唇最外点、咽喉长度以及面角等存在显著差异(P<0.01)。提示覆、覆盖、面中部的软组织结构、面角、咽喉点、下切牙及下唇的位置与矢状骨面型有一定的相关性。眶缘点、瞳孔下点、鼻翼点、颧骨点与SNB呈显著相关,颧骨点、鼻翼点与代表颅面矢状关系的指标ANB存在显著相关。结论:不同的颅面矢状骨面型,其多项软组织测量值有显著差异;面中部软组织结构特征与上、下颌骨矢状向位置有显著相关性。PURPOSE：To study the correlation between midfacial soft tissues and craniofacial hard structures of malocclusions with different skeletal patterns by Arnett analysis.METHODS：60 children（26 males,34 females）,aged from 12 to 16 years,who had no orthodontic treatment,congenital craniofacial deformity and remarkable facial asymmetry,were divided into 3 groups according to ANB.Lateral cephalograms were taken when the patients’ heads in natural positions and metal beads placed on right midface according to Arnett analysis.Statistical analysis was performed using SPSS10.0 software package and the values of midfacial soft tissues were compared among groups with one-way ANOVA.In addition,correlation analysis was conducted to determine the correlation between soft and hard tissues.RESULTS：The values were significantly varied with different ANB（P〈0.01）such as overbite,overjet,orbital rim,cheek bone,Md1,lower lip anterior,throat length and facial angle.Mx occlusal plane,pogonion′,subnasale′-pogonion′,orbital rims,subpupil,alar base,cheek bone had significant correlation with SNB,while values like cheek bone and alar base had significant correlation with ANB.CONCLUSIONS：The soft tissues of midface are greatly correlative to craniofacial hard structures such as the sagital relationship of upper and lower jaws.

关 键 词：软组织 侧貌 Arnett分析 头影测量 

分 类 号：R78[医药卫生—口腔医学] R816.98[医药卫生—临床医学]