CBCT在诊断根尖周病损中的应用及探讨  

The Study and Application of CBCT in the Diagnosis of Periapical Lesion

作　　者：李宏[1] LI Hong(Shanxi Provincial People Is Hospital, Taiyuan 030012, Shanxi, China)

机构地区：[1]山西省人民医院,山西太原030012

出　　处：《山西职工医学院学报》2016年第5期13-16,共4页Journal of Shanxi Medical College for Continuing Education

摘　　要：目的:分析CBCT在临床上的应用优势以及与传统X线影像技术的区别。方法:选取3例临床病例进行影像学分析及比较,同时查阅大量国内外文献。结果::X线片有时不能如实反映出根尖周病损以及在有大面积根尖低密度阴影时无法反映病损的实际大小,追加CBCT后,更为客观真实地了解病损的实际大小,使诊断和治疗更清晰明确。结论:CBCT作为一种新型口腔三维数字成像技术,在很多方面比X线片更具优势,但并不代表可以代替口腔常规x线检查,它只能在进行了完善的临床检查,而传统X线影像无法提供更多信息的疑难病例使用,以进一步诊断病因。Objective： To analysize the different advantages between X -ray imaging and CBCT in clinic practice. Methods ：3 clinical cases of the imaging analysis were made and a large number of domestic and foreign literatures were consulted. Results：The X -ray sometimes could not reflect the periapical lesion and when the lesion following with alarge area, the X -ray could not reflect the actual size of lesion. But with CBCT, mole objective anti true understanding of the actual size of the lesion could be made, making diagnosis and treatment more clear. Conclusions：CBCT as a new 3D oral digital imaging technology, based on the accuracy for the diagnosis of odontogenic disease, indeed has more ad- vantages in many ways than X -ray film. But not all cases are recommended for CBCT obviously because CBCT cannot be used as a routine examination of the oral cavity just for the sake of its advantages. It is only used when clinical exami- nation has been carried out perfectly or in some difficult cases.

关 键 词：CBCT X线片 诊断 根尖周炎 

分 类 号：R781.4[医药卫生—口腔医学]