侧壁开窗上颌窦底提升主要并发症的影像学相关性分析  

Imaging correlation analysis of the occurrence of major complications of lateral window technique for sinus floor elevation

作　　者：韩彬 柯品廷 林彦君 许宗和 邢益丰 许其印[1] 吴东[1,2] Han Bin;Ke Pinting;Lin Yanjun;Xu Zonghe;Xing Yifeng;Xu Qiyin;Wu Dong(School and Hospital of Stomatology,Fujian Medical University,Fuzhou 350002,China;Research Center of Dental and Craniofacial Implants,Fujian Medical University,Fuzhou 350002,China)

机构地区：[1]福建医科大学附属口腔医院,福州350002 [2]福建医科大学口腔颅颌面种植研究中心,福州350002

出　　处：《中国口腔种植学杂志》2023年第6期460-465,共6页Chinese Journal of Oral Implantology

基　　金：福建省卫健委医学创新课题(2021CXA035)。

摘　　要：目的 本研究旨在通过影像学资料分析、探讨上颌窦局部解剖结构的差异和相关性及其对侧壁开窗上颌窦底提升主要并发症发生的影响,为避免并发症的发生提供部分参考。方法对380名患者(男性206名,女性174名)的上颌窦影像进行锥形束CT扫描分析,分别测量上颌窦宽度、上颌窦外侧壁与内侧壁在上颌窦底形成的角度(lateral and the medial walls with respecttothefloorofthesinus,LFM)、上颌窦外侧壁厚度、上颌窦底黏骨膜厚度、上颌窦外侧壁血管直径、剩余牙槽骨高度,并分析导致侧壁开窗上颌窦底提升并发症发生与局部解剖因素之间的相关性。结果 上颌窦宽度与LFM呈正相关,此相关性在各位点中均具有统计学意义(P<0.05)。剩余牙槽骨高度与上颌窦外侧壁厚度、血管直径与外侧壁厚度、血管直径与剩余牙槽骨高度之间呈正相关,其相关性在部分位点中具有统计学意义(P<0.05)。结论 从影像学角度出发进行研究和统计分析,发现在可能引起侧壁开窗上颌窦底提升并发症的因素中,上颌窦宽度与LFM、剩余牙槽骨高度与上颌窦外侧壁厚度、血管直径与上颌窦外侧壁厚度、血管直径与剩余牙槽骨高度具有正相关关系。Objective The aim of this study was to analyze the imaging data and investigate the influence of the differences and correlations of local anatomical structures on the occurrence of major complications of lateral window technique for sinus floor elevation,in order to provide help for avoiding the occurrence of complications.Methods The maxillary sinus images of 380 patients(206 males and 174 females) were analyzed by cone-beam CT scanning to measure the width of the maxillary sinus,the angle formed by the lateral and the medial walls of the maxillary sinus at the floor of the maxillary sinus(LFM),the thickness of the lateral wall of the maxillary sinus,the thickness of the mucoperiosteum at the floor of the maxillary sinus,the diameter of the blood vessels of the lateral wall of the maxillary sinus,the height of the remaining alveolar bone,and to analyze correlations between the local anatomical factors that contributed to the development of the complications of lateral window technique for sinus floor elevation.Results Maxillary sinus width was positively correlated with LFM,and the correlation was statistically significant at all tooth sites(P<0.05).There was a positive correlation between remaining alveolar bone height and maxillary sinus lateral wall thickness,vessel diameter and lateral wall thickness,and vessel diameter and remaining alveolar bone height,and the correlation was statistically significant in some of the tooth sites(P<0.05).Conclusions The study and statistical analysis from the imaging point of view revealed that among the factors that may cause complications of lateral window technique for sinus floor elevation,the maxillary sinus width has a positive correlation with the LFM,the remaining alveolar bone height with the maxillary sinus lateral wall thickness,the blood vessel diameter with the maxillary sinus lateral wall thickness,and the blood vessel diameter with the remaining alveolar bone height.

关 键 词：侧壁开窗上颌窦底提升 锥形束CT 解剖因素 并发症 

分 类 号：R782[医药卫生—口腔医学]