正常青少年颅面形态与上气道关系的研究

上海口腔医学 ›› 2016, Vol. 25 ›› Issue (6): 702-706.

正常青少年颅面形态与上气道关系的研究

张奇峰, 金莉, 姚华, 李志勇, 黄旭, 王慧明

浙江大学医学院附属第一医院口腔医学中心,浙江杭州 310003

收稿日期:2016-04-25 出版日期:2016-12-25 发布日期:2016-12-29
通讯作者: 张奇峰,E-mail: zzqqff2008@163.com
作者简介:张奇峰（1979-）,男,博士,主治医师
基金资助:
高等学校博士学科点专项科研基金资助项目（20100101120114）; 浙江省自然科学基金（LY14H140001）

Relationship between upper airway and cranial-facial growth patterns in adolescents with normal occlusion

ZHANG Qi-feng, JIN Li, YAO Hua, LI Zhi-yong, HUANG Xu, WANG Hui-ming

Department of Stomatology, First Affiliated Hospital of Medical School of Zhejiang University. Hangzhou 310003, Zhejiang Province, China

Received:2016-04-25 Online:2016-12-25 Published:2016-12-29

摘要/Abstract

摘要： 目的了解正常青少年上气道各部位的形态特征,比较不同生长型青少年上气道形态的差异。方法选取正常、恒牙初期样本116例（男52例,女64例）。采用SPSS 21.0软件包对所获得的数字化头影测量数据进行两样本t检验、方差分析,比较不同生长型、不同性别组间上气道矢状径的差异;采用多元逐步回归分析,探讨反映颅面结构的不同指标与上气道形态的相关性。结果获得上气道、舌骨及颈椎的相关测量指标共30项。其中,反映上气道矢状径的4项指标鼻咽气道间隙（PNS-UPW）、上口咽气道间隙（U-MPW）、下口咽气道间隙（PAS）、喉咽气道间隙（V-LPW）在男女之间无显著差异,在高、中、低角各组之间的差异也无统计学意义。相关分析发现,PNS-UPW与颅底角（Ba-SN）、下颌支高度（Ar-Go）呈正相关,而与舌骨颈椎前平面距（H-VL）呈负相关;U-MPW与全颅底长（Ba-N）呈正相关,与软腭长度（PNS-U）呈负相关;PAS与下颌总长度（Ar-Gn）呈正相关,与PNS-U、舌骨蝶鞍距（H-S）呈负相关;V-LPW与H-VL呈正相关,与H-S呈负相关。结论初步建立了正常青少年上气道及周围组织形态的均值和变异范围。在正常青少年中,虽然不同垂直骨面型组间青少年上气道形态并无显著差异,但颅面形态仍与上气道结构存在相关关系。

关键词: 上气道, X线头影测量, 生长型, 青少年

Abstract: PURPOSE: To investigate the relationship between upper airway and cranial-facial growth pattern among teenagers with normal occlusion. METHODS: The study subjects consisted of 52 boys and 64 girls with normal occlusion. Their cephalometric radiographs were obtained. The sagittal diameter of upper airway was analyzed according to gender and different growth pattern. The relationship of upper airway diameter and cranial-facial formation was evaluated by stepwise regression analysis using SPSS 21.0 software package. RESULTS: There was no significant difference between male and female about upper airway diameter in teenagers, also no difference was found among different growth patterns. Regression analysis showed that upper airway was associated with some cranial-facial formation parameters. CONCLUSIONS: Although there is no significant difference in the upper airway diameters among different growth patterns, there is still certain association between cranial-facial formation and upper airway in adolescents.

Key words: Upper airway, Cephalometric analysis, Growth pattern, Adolescent

中图分类号:

R782.2

张奇峰, 金莉, 姚华, 李志勇, 黄旭, 王慧明. 正常青少年颅面形态与上气道关系的研究[J]. 上海口腔医学, 2016, 25(6): 702-706.

ZHANG Qi-feng, JIN Li, YAO Hua, LI Zhi-yong, HUANG Xu, WANG Hui-ming. Relationship between upper airway and cranial-facial growth patterns in adolescents with normal occlusion[J]. Shanghai Journal of Stomatology, 2016, 25(6): 702-706.

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