本文關(guān)鍵詞： 正頜外科 面部美學(xué)指標(biāo) 軟組織 側(cè)貌　出處：《浙江大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：背景：面部軟組織側(cè)貌美學(xué)指標(biāo)能評(píng)價(jià)正畸正頜聯(lián)合治療患者術(shù)前術(shù)后的軟組織變化,可以指導(dǎo)手術(shù)方案設(shè)計(jì),尤其適合外科優(yōu)先的正畸正頜聯(lián)合治療,也可用于評(píng)估患者術(shù)后的治療效果,在正頜外科學(xué)中的應(yīng)用十分廣泛,是一種重要的研究手段和分析方法。目前,國(guó)內(nèi)外有多種面部軟組織側(cè)貌美學(xué)指標(biāo)體系,但是不同醫(yī)師采用的指標(biāo)體系不盡相同,種類繁多。因此篩選適合正頜外科的面部軟組織美學(xué)指標(biāo),具有一定的臨床意義。 目的：篩選敏感的面部軟組織側(cè)貌美學(xué)指標(biāo)來測(cè)量正畸正頜聯(lián)合治療患者術(shù)前術(shù)后的軟組織變化,評(píng)估面部軟組織側(cè)貌美學(xué)指標(biāo)應(yīng)用于正頜外科術(shù)前設(shè)計(jì)和術(shù)后評(píng)價(jià)的可行性。 材料方法：隨機(jī)選取2007年1月至2013年7月來浙江大學(xué)醫(yī)學(xué)院附屬口腔醫(yī)院就診的14位正畸正頜聯(lián)合治療患者為研究對(duì)象�；颊咝g(shù)前、術(shù)后拍攝側(cè)面照及頭顱側(cè)位片,查閱相關(guān)文獻(xiàn)選取合適的面部軟組織側(cè)貌美學(xué)指標(biāo)并由同一名研究生三次測(cè)量取平均值：面型角、鼻唇角、零子午線(0線)至Sn點(diǎn)的距離(0-Sn值)、0線至Pos點(diǎn)的距離(0-Pos值)、面中及面下1/3的比例、口裂至頦下點(diǎn)與鼻下點(diǎn)至口裂的比例、上下唇突度、頦唇角、頦唇溝深度；將14名患者術(shù)前術(shù)后側(cè)面照通過Photoshop CS8.0陰影化,由30名口腔醫(yī)學(xué)生采用7級(jí)里克特量表進(jìn)行容貌評(píng)價(jià),取平均值作為對(duì)側(cè)面貌美觀度的評(píng)價(jià)；采用SPSS19.0統(tǒng)計(jì)軟件包對(duì)結(jié)果進(jìn)行統(tǒng)計(jì)分析。 結(jié)果：通過多重線性回歸分析篩選出4項(xiàng)面部軟組織側(cè)貌的敏感指標(biāo)：口裂至頦下點(diǎn)與鼻下點(diǎn)至口裂的比例(p=0.0010.01)、0-Pos值(p=0.0120.01)、0-Sn值(p=0.0130.01)、面型角(p=0.0130.01)。 結(jié)論：口裂至頦下點(diǎn)與鼻下點(diǎn)至口裂的比例、0-Pos值、0-Sn值、面型角這四項(xiàng)美學(xué)指標(biāo)可以作為評(píng)價(jià)正頜術(shù)前及術(shù)后面部軟組織側(cè)貌的敏感指標(biāo)。
[Abstract]:Background: the aesthetic index of facial soft tissue profile can evaluate the changes of soft tissue before and after orthodontic orthognathic treatment, and can guide the design of surgical scheme, especially suitable for orthodontic orthognathic combined therapy. It is widely used in orthognathic surgery and is an important method of research and analysis. At present, there are many kinds of aesthetic index system of facial soft tissue profile at home and abroad. However, the index system adopted by different doctors is different and there are many kinds. Therefore, it is of clinical significance to screen the aesthetic indexes of facial soft tissue suitable for orthognathic surgery. Objective: to screen sensitive aesthetic indexes of facial soft tissue profile to measure the changes of soft tissue before and after orthodontic orthognathic treatment. To evaluate the feasibility of preoperative design and postoperative evaluation of facial soft tissue profile in orthognathic surgery. Materials: from January 2007 to July 2013, 14 patients with orthodontic orthognathic combined treatment were randomly selected from the affiliated Stomatology Hospital of Zhejiang University Medical College. Before and after operation, lateral radiography and lateral cephalic radiography were taken. According to the relevant literature, the appropriate aesthetic indexes of facial soft tissue profile were selected and the average values were measured three times by the same graduate student: facial angle, nasolabial angle, The distance from zero meridian (0) to Sn (0) from 0 to Pos (0), the ratio of 1/3 between midplane and subfacial, the ratio of mouth to submental and subnasal to oral fissure, the degree of upper and lower lip protrusion, the angle of mental lip, and the depth of mental sulcus; 14 patients were shaded by Photoshop CS8.0 before and after operation, and 30 Stomatological students were evaluated with Richter scale of grade 7, and the average value was taken as the evaluation of contralateral beauty. The results were analyzed by SPSS19.0 software package. Results: by multiple linear regression analysis, four sensitive indexes of facial soft tissue profile were selected: the ratio of oral fissure to submental point and subnasal point to oral fissure: p0. 0010. 01 and 0. 0120. 01 ~ 0. 01 and p0. 013. 01, p0. 013. 01, p0. 013. 01, p0. 013. 01, p0. 013. 01, p0. 013. 01, p0. 013. 01, p0. 013. 01, respectively. Conclusion: the ratio of oral fissure to submental point to subnasal point to oral fissure is 0-Pos value 0-Sn value and facial angle can be used as a sensitive index to evaluate the facial soft tissue profile before and after orthognathic surgery.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R783.5

【參考文獻(xiàn)】

相關(guān)期刊論文 前5條

1 王茜;王濤;宋錦t，

本文編號(hào)：1524063