单侧完全性唇腭裂患者咽腔三维分析  

Evaluation of pharynx in unilateral compete cleft lip and palate with CBCT

作　　者：朱凌[1] 薛浩伟[1] 后军[1] ZHU Ling;XUE Haowei;HOU Jun(Department of maxillofacial surgery,The First Affiliated Hospital of Anhui Medical University,Hefei,Anhui,230022,China)

机构地区：[1]安徽医科大学第一附属医院口腔颌面外科,合肥230022

出　　处：《中国中西医结合耳鼻咽喉科杂志》2024年第4期283-286,共4页Chinese Journal of Otorhinolaryngology in Integrative Medicine

基　　金：安医大一附院2021年度临床研究启动计划项目(编号:LCYJ2021YB001)。

摘　　要：目的探讨单侧完全性唇腭裂患者咽腔三维结构与正常人之间的差异。方法应用Mimics软件对成年单侧完全性唇腭裂患者及同龄正常人的咽腔锥体束CT(cone beam computed tonoography,CBCT)数据进行分析,比较两组之间气性咽腔横径(Dtp、Dtc2、Dtc3)、前后径(Dsp、Dsc2、Dsc3)、横截面积(Ap、Ac2、Ac3)以及体积(Vt、Vp、Vp-c2、Vc2-c3)等的差异。结果共入组18例单侧完全性唇腭裂术后患者及20例同龄正常人;单侧完全性唇腭裂患者Dsp、Ap、Vt、Vp及Vp-c2大于正常组(P=0.000、P=0.003、P=0.021、P=0.004、P=0.000)。结论单侧完全性唇腭裂术后患者咽腔大于正常人,且差异主要是鼻咽部前后径增加所导致的鼻咽面积、体积增加。Objective To investigate the difference between the three-dimensional structure of pharyngeal cavity in patients with unilateral complete cleft lip and palate(UCLP)and normal people.Methods CBCT of patients with UCLP and normal was analyzed by Mimics.Linear(Dtp、Dtc2、Dtc3、Dsp、Dsc2、Dsc3),planar(Ap、Ac2、Ac3),and volumetric(Vt、Vp、Vp-c2、Vc2-c3)were compared between UCLP and normal.Statistical analyses were performed by using independent-samples t test,with the threshold of significance set at P=0.05.Results A total of 18 patients with unilateral complete cleft lip and palate and 20 normal controls of the same age were included.Dsp,Ap,Vt,Vp and VP-C2 in unilateral complete cleft lip and palate patients were higher than those in normal group(P=0.000,P=0.003,P=0.021,P=0.004,P=0.000).Conclusion CBCT found that pharynx was enlarged in adult patients with UCLP,and the difference was mainly due to the increase of nasopharyngeal area and volume caused by the increase of anterior and posterior diameter of nasopharynx.

关 键 词：单侧完全性唇腭裂 咽腔 三维 锥体束 

分 类 号：R782.2[医药卫生—口腔医学]