成年女性骨性Ⅱ类患者舌骨位置的研究  

Study of Position of Hyoid in Adult Women with Skeletal ClassⅡ

作　　者：孙昊 马新芳 王杰睿[1] 米丛波[1] SUN Hao;MA Xin-fang;WANG Jie-rui;MI Cong-bo(Department of Orthodontics,the First Affiliated Stomatological Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang,China)

机构地区：[1]新疆医科大学第一附属医院口腔正畸科,新疆乌鲁木齐830054

出　　处：《中国美容医学》2021年第5期75-78,共4页Chinese Journal of Aesthetic Medicine

基　　金：国家自然科学基金资助项目(编号:81960196)。

摘　　要：目的:比较成年女性骨性Ⅱ类患者舌骨位置的差异。方法:按纳入标准选取2017年-2019年就诊于新疆医科大学口腔正畸科的60例患者的头颅侧位片影像资料,并将其分为A、B、C三组。A组:骨性Ⅰ类组,20例;B组:骨性Ⅱ类上颌前突组,20例;C组:骨性Ⅱ类下颌后缩组,20例。利用Winceph8.0软件定点测量分析舌骨位置的相关指标,采用SPSS22.0软件对相关数据进行分析。结果:成年女性患者舌骨长轴的角度HA-PP、HA-MP及HA-FH三组比较无统计学差异(P>0.05)。舌骨水平向测量:H-Me测量结果显示,A组>B组,A组>C组,B、C组两组间无统计学差异(P>0.05);H-C3测量结果显示,C组<A组,C组<B组,A、B两组间无统计学差异(P>0.05);舌骨垂直向测量结果:H-FH、H-MP、H-PP三项测量结果中,仅有H-MP在三组间存在统计学意义,C组>A组,C组>B组,A、B组两组间无统计学差异(P>0.05)。结论:骨性Ⅱ类下颌后缩组舌骨位置最靠后,其上气道容积减小,气道狭窄,更易诱发OSAHS。Objective To compare the hyoid position difference of female adults with Seletal classⅡmalocclusion patients.Methods The Lateral cephalograms data of 60 female adult patients were selected according to the inclusion criteria,and the 60 cases were divided into three groups:A group:skeletal Class I group(n=20),B group:skeletal ClassⅡmaxillary protrusion group(n=20),C group:skeletal ClassⅡmandibular retraction group(n=20).The relevant indexes of the hyoid bone were measured and analyzed using Winceph 8.0 software.Data were analyzed by SPSS 22.0.Results The mean hyoid axis angle among three group subjects had no statistical significance.Horizontal measurement results of hyoid bone:the measurement results of H-Me showed that group A wass greater than group B and group C(P<0.05,but there was no statistical difference between group B and group C(P>0.05).H-C3 showed that:group C was less than group A and group B(P<0.05),but there was no statistical difference between A and B(P>0.05).Vertical measurement results of hyoid bone:among the three measurement results of H-FH,H-MP and H-PP,only H-MP presented statistical significance among the three groups,and group C was greater than group A and group B(P<0.05).There was no statistical difference between group A and group B of group C(P>0.05).Conclusion The hyoid position od skeletal ClassⅡmandibular retraction group is the most posterior,and the volume of the upper airway is reduced,which is more likely to induce OSAHS.

关 键 词：舌骨 骨性Ⅱ类 垂直骨面型 头影测量 气道 

分 类 号：R783.5[医药卫生—口腔医学]