高频超声在极微型唇裂诊断中的应用与影像学特征分析  

Application of High Frequency Ultrasound in Diagnosis and Treatment of Mini-microform Cleft Lip

作　　者：杨欣 谢莹 李健 杨小红[4] 赵胜[4] YANG Xin;XIE Ying;LI Jian;YANG Xiaohong;ZHAO Sheng(Postgraduate Training Base of Maternal and Child Health Hospital of Hubei Province,Hubei University of Medicine,Wuhan 430070,China;The State Key Laboratory Breeding Base of Basic Science of Stomatology(Hubei-MOST)&Key Laboratory of Oral Biomedicine Ministry of Education,School and Hospital of Stomatology,Wuhan University,Wuhan 430079,China;Department of Oral and Maxillofacial Surgery,Hospital of Stomatology,Wuhan University,Wuhan 430079,China;Department of Ultrasound,Maternal and Child Health Hospital of Hubei Province,Wuhan 430070,China)

机构地区：[1]湖北医药学院湖北省妇幼保健院研究生培养基地,湖北武汉430070 [2]武汉大学口腔医学院口腔基础医学省部共建国家重点实验室培育基地和口腔生物医学教育部重点实验室,湖北武汉430079 [3]武汉大学口腔医院口腔颌面外科,湖北武汉430079 [4]湖北省妇幼保健院超声科,湖北武汉430070

出　　处：《口腔医学研究》2024年第11期999-1003,共5页Journal of Oral Science Research

基　　金：湖北省卫健委面上基金项目(编号:WJ2021M188);湖北省卫生健康委重点项目(编号:WJ2023Z007)。

摘　　要：目的:探讨高频超声在极微型唇裂诊断和治疗中的应用价值。方法:根据纳入排除标准收集12例极微型唇裂患儿的临床资料,男10例,女2例,平均年龄2.6岁,所有患儿在术前拍摄正面照片并行高频超声检查,测量并评价皮下结缔组织与口轮匝肌浅层厚度、口轮匝肌深层厚度、口轮匝肌的交叉纤维束厚度和角度等各项指标。结果:高频超声下可见红唇与人中嵴凹陷,患侧上唇口轮匝肌浅层与皮下结缔组织层可见不规则低回声,浅层口轮匝肌层厚度较健侧薄(P=0.005);深层口轮匝肌及结缔组织均未见明显的异常回声。患侧口轮匝肌交叉纤维束与水平参考线之间的角度较健侧大(P<0.001)。结论:通过高频超声检查可显示极微型唇裂患者上唇皮下结缔组织与口轮匝肌的异常,为制定个体化治疗方案提供参考依据。Objective:To investigate the value of high-frequency ultrasound in the diagnosis and treatment of mini-microform cleft lip.Methods:Based on the inclusion and exclusion criteria,data from 12 patients with mini-microform cleft lip were collected,in which 10 were males and 2 were females,with a mean age of 2.6 years.All patients took frontal photographs and underwent high-frequency ultrasonography prior to surgery.Indicators,such as the thickness of subcutaneous connective tissue and the superficial layer of the orbicularis oris muscle,the deep layer of the orbicularis oris muscle,and the thickness and angle of the cross fiber bundles of the orbicularis oris muscle,were measured and evaluated.Results:High-frequency ultrasound revealed the depression of red lip and midface ridge.Irregular low echoes were seen in the superficial orbicularis oris muscle and subcutaneous connective tissue layer of upper lip on the affected side.The thickness of superficial orbicularis oris muscle layer was significantly thinner than that of the healthy side(P=0.002).No significant abnormal echoes were seen in the deep orbicularis oris muscle and connective tissue.The angle between the crossed fiber bundles of the orbicularis oris muscle and the horizontal reference line was greater on the affected side than on the healthy side(P<0.001).Conclusion:High-frequency ultrasonography can visualize the abnormalities of subcutaneous connective tissue of the upper lip and the orbicularis oris muscle in patients with very mini-microform cleft lip,and the findings can aid in the development of personalized treatment plan.

关 键 词：高频超声 极微型唇裂 口轮匝肌 交叉纤维束 

分 类 号：R445.1[医药卫生—影像医学与核医学] R782.2[医药卫生—诊断学]