手术辅助上颌快速扩弓对鼻气道形态和鼻阻力的影响  

Effect of surgically assisted rapid maxillary expansion on the dimension of the nasal air way and nasal air resistance

作　　者：聂萍[1] 陶丽[1] 唐艳梅[1] 赵彦惠[1] 王晓玲[1] 朱敏[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院·口腔医学院口腔颅颌面科,上海市口腔医学重点实验室,上海200011

出　　处：《中国口腔颌面外科杂志》2015年第2期147-150,共4页China Journal of Oral and Maxillofacial Surgery

基　　金：上海高校青年教师培养资助计划(shjdy029);上海市卫计委青年项目(20144Y0124)~~

摘　　要：目的:评价手术辅助上颌快速扩弓(surgically assisted rapid maxillary expansion,SARME)对成人鼻腔容积及鼻阻力的影响。方法:16例上颌横向发育不足,伴一侧或双侧后牙反成人患者进行手术辅助上颌快速扩弓。所有研究对象均在治疗前(T1)、扩弓保持3个月后(T2)拍摄螺旋CT,测量鼻腔宽度及鼻腔容积变化,并采用鼻声反射测量(AR)检查鼻腔最小横截面积及鼻阻力的改变。应用SPSS 16.0软件包中的配对t检验比较治疗前(T1)、扩弓保持3个月后(T2)鼻腔宽度、鼻腔最小横截面积、鼻腔容积和鼻阻力的改变。结果:上颌快速扩弓后,鼻腔上部及中部宽度无显著变化(P>0.05),而鼻底宽度显著增加(P<0.01)。鼻腔容积及鼻腔最小横截面积显著增加(P<0.05),而鼻阻力显著减小(P<0.01)。结论:手术辅助上颌快速扩弓可对成人鼻气道形态产生影响,使鼻阻力降低。PURPOSE： To evaluate the effect of surgically assisted rapid maxillary expansion（SARME） on the volume of the nasal cavity and nasal air resistance in adults. METHODS： The sample comprised 16 patients with maxillary transverse deficiency. They had unilateral or bilateral posterior crossbites. Spiral CT scans and acoustic rhinometry were taken to evaluate the changes of nasal cavity width, nasal cavity volume, minimal cross-sectional area and nasal airway resistance before and 3 months after SARME. The parameters were analyzed with SPSS16.0 software package for paired t test. RESULTS： No statistically significant differences were found in the upper or middle part of the nasal cavity widths（P〉0.05）, but there was a significant increase in nasal floor width（P〈0.01）. And there were significant increases in nasal volume and minimal cross-sectional area（P〈0.05）, and decrease in nasal resistance（P〈0.01）. CONCLUSIONS： SARME is likely to improve the dimension of the nasal air way in adults, and decrease the nasal resistance.

关 键 词：上颌快速扩弓 鼻气道 鼻阻力 

分 类 号：R782[医药卫生—口腔医学]