口腔锥形束CT在军事飞行人员根管治疗中的辅助诊断分析  

Oral cone⁃beam CT as an aid to diagnosis in root canal treatment of flight personnel

作　　者：丁立 张卓然 王飞 刘玲 倪丽英 刘霞 惠光艳 Ding Li;Zhang Zhuoran;Wang Fei;Liu Ling;Ni Liying;Liu Xia;Hui Guangyan(Department of Stomatology,Rehabilitation Zone 2,Qingdao Special Service Rehabilitation Center of the Navy,Qingdao 266071,China)

机构地区：[1]海军青岛特勤疗养中心疗养二区口腔科,山东青岛266071 [2]海军青岛特勤疗养中心疗养五区放射科,山东青岛266071

出　　处：《海军医学杂志》2025年第4期334-338,共5页Journal of Navy Medicine

基　　金：青岛市卫生健康委员会项目课题(2022-WJZD225)。

摘　　要：目的分析口腔锥形束CT在飞行人员根管治疗中的辅助诊断效果,为飞行人员口腔健康提供理论依据。方法2020年2月至2022年2月80例在海军青岛特勤疗养中心口腔科行根管治疗的飞行人员均给予常规X线检查和口腔锥形束CT检查,对检出根管数目、根管定位、根管治疗等方面的差异进行比较。结果80例患者共有根管235个,口腔锥形束CT检出率(94.47%)高于常规X线检查(87.66%),差异有统计学意义(P<0.05),2种检测方法吻合根管数为206个,其检出根管数目一致性Kappa值为0.643(P<0.05),口腔锥形束CT辅助下根管疏通率(90.64%)高于常规X线检查(82.98%),差异有统计学意义(P<0.05)。结论口腔锥形束CT能有效地协助复杂根管的探测,能够增加检出根管的数量、协助定位根管的位置,同时查看根管钙化情况,指导根管疏通,为飞行人员复杂根管疾病的顺利处理提供保证,是提高飞行人员根管治疗成功率的切实保障。Objective To analyze the auxiliary diagnostic effect of oral cone beam computed tomography(CBCT)in root canal treatment of flight personnel.Methods Eighty flight personnel who underwent root canal treatment in Qingdao Special Service Rehabilitation Center of the Navy from February 2020 to February 2022 were enrolled in this study.All the patients received X⁃ray examination and oral CBCT.The number of detected root canals,root canal localization,and root canal treatment were analyzed.Results There were 235 root canals in the 80 patients.The detection rate of oral CBCT was significantly higher than that of X⁃ray examination(94.47%vs 87.66%,P<0.05).A total of 206 root canals were detected by both detection methods,and the Kappa value for consistency in the number of root canals detected was 0.643(P<0.05).The successful rate of root canal negotiation assisted by oral CBCT was significantly higher than that of X⁃ray examination(90.64%vs 82.98%,P<0.05).Conclusion Oral CBCT can effectively assist in the detection of complex root canals,increase the number of detected root canals and assist in the location of the root canals,check the calcification of root canals,and guide root canal negotiation,which provide a guarantee for complex root canal treatment of flight personnel.

关 键 词：飞行人员 根管治疗 常规X线检查 口腔锥形束CT 辅助诊断 

分 类 号：R828.8[医药卫生—临床医学]