可调式口腔矫治器治疗儿童阻塞性睡眠呼吸暂停综合征的X线头影测量分析  

The X-cephalometry analysis of the treatment of adjustable oral appliances in children with obstructive sleep apnea syndrome

作　　者：徐巍[1] 徐篪[2] 

机构地区：[1]武汉市儿童医院口腔科,湖北武汉430016 [2]华中科技大学管理学院信息管理系,湖北武汉430070

出　　处：《临床口腔医学杂志》2009年第9期556-558,共3页Journal of Clinical Stomatology

摘　　要：目的:探讨可调式口腔矫治器治疗儿童阻塞性睡眠呼吸暂停综合征(OSAS),下颌前伸时上气道及周围结构的变化及其规律。方法:对32例戴用可调式口腔矫治器治疗有效的OSAS患儿,进行治疗前后X线头影测量分析。结果:32例OSAS患儿,AH-MP距减少30.70%,AH-Ge距减少10.38%,AH-CVP距增加4.95%,AH-FH距减少4.26%,V-T减少5.32%,SPP-SPPW距增加27.04%,U-MPW距增加17.10%,TB-TPPW增加20.68%,V-LPW距增加18.28%,LPW-CVP减少13.43%,V-Ge距增加18.27%,均有统计学意义。结论:X线头影测量用于治疗儿童OSAS的辅助诊断、治疗及疗效评价具有重要价值。Objective：To investigate the changes and their trends of the upper airway and the surrounding structure when the children patients with obstructive sleep apnea syndrome（OSAS）advance their mandibula as they are treated by adjustable oral appliances.Method：Analyze by X-cephalometry before and after the treatment of adjustable oral appliances in 32 cases of children patients with obstructive sleep apnea syndrome.Result：In the 32 cases of children patients with OSAS,the distance of AH-MP reduced by 30.70 %;the distance of AH-Ge reduced by 10.38%;the distance of AH-CVP increased by 4.95 % ; the distance of AH-PH reduced by 4.26% ; the distance of V-T reduced by 5.32 % ; the distance of SPP-SPPW increased by 27.04 %; the distance of U-MPW increased by 17.10 %;the distance of TB-TPPW increased by 20.68 %; the distance of V-LPW increased by 18.28 %; the distance of LPW-CVP reduced by 13.43 %; the distance of V- Ge increased by 18.27 %; all of them have statistical significance. Conclusion：The X-cephalometry has a significant value on the supplementary diagnosis, the treatment and the evaluation of the treatment when it is used to treat children patients with obstructive sleep apnea syndrome （OSAS）.

关 键 词：儿童 阻塞性睡眠呼吸暂停综合征 X线头影测量 

分 类 号：R783.5[医药卫生—口腔医学]