青少年原发性关节炎患者与正畸患者的颌面形态特点的对比研究  

Comparative study of the characteristics of maxillofacial morphology in adolescent idiopathic arthritis patients and orthodontic patients

作　　者：胡玉乾[1] 孙竹萍[2] 张鹏飞 

机构地区：[1]辽东学院医学院口腔医学系,辽宁丹东118002 [2]辽宁省丹东市中心医院风湿免疫科,辽宁丹东118002 [3]辽宁省东港市口腔医院正畸科,辽宁丹东118000

出　　处：《中国现代医生》2016年第28期72-75,共4页China Modern Doctor

摘　　要：目的研究原发性关节炎(JIA)患者与健康人群中正畸患者的颌面部形态在临床和影像学表现方面的差异。方法对64例JIA患者进行临床检查并拍摄头颅侧位片。将头颅侧位片的测量结果与年龄和性别匹配的健康对照组进行对比。结果 JIA患者容易表现出前牙开症状,SNA角、SNB角、ANB角及下颌平面角均大于对照组,前面高、下面高及中切牙交角小于对照组(P<0.05)。结论 JIA患者的颅面部形态的改变表现为下颌后缩,下颌角陡直,前面高和下面高变短且较容易出现前牙开。JIA患者容易出现颌面部生长异常,应该进行早期和定期的正畸学及影像学检查特别是不要忽略没有颞下颌关节症状的患者。Objective To study the clinical and imaging features of facial morphology in patients with primary arthritis （JIA） and healthy people. Methods A total of 64 JIA patients were clinically examined and photographed on the side of the skull. The measurement results of the lateral skull view were compared with the healthy control group matched with age and gender. Results It was shown that JIA patients had symptoms of anterior teeth more easily opening and closing. The SNA angle, SNB angle, ANB angle and mandibular plane angle were higher than those of the control group and the front high, below high and central incisor angle were smaller than those of the control group（P〈0.05）. Conclusion Changes of craniofacial morphology in patients with JIA are the mandibular retrusion, steep mandibular angle, shorter front high and below high and being more prone to separation of the anterior teeth. JIA patients are prone to appear ab- normal facial growth. Regular orthodontic and imaging examination should be carried out early and regularly. In partic- ular, the patients without symptoms of temporomandibular joint should not be ignored.

关 键 词：青少年原发性关节炎 颞下颌关节(TMJ) 前牙开袷 颌面形态 下颌后缩 

分 类 号：R783[医药卫生—口腔医学]