本文選題：單數(shù)碼攝影 + 三維測量��； 參考：《遵義醫(yī)學院》2014年碩士論文

【摘要】：目的利用iwitness三維重建測量軟件對單側(cè)唇裂術(shù)前術(shù)后鼻唇部特征及術(shù)后鼻唇部生長發(fā)育變化進行研究分析，以了解和掌握患者手術(shù)前后，手術(shù)后即刻效果與遠期效果間的變化關(guān)系，為唇裂修復(fù)手術(shù)準確的定點設(shè)計提供參考意見。 方法實驗受測者為50名年齡為3個月到2歲不等的單側(cè)唇裂患者，按唇裂類型將其分為兩組，即單側(cè)完全性唇裂組，共30人；單側(cè)不完全性唇裂組，共20人；實驗通過使用單數(shù)碼攝影技術(shù)拍攝患者術(shù)前、術(shù)后及術(shù)后（至少術(shù)后三個月）復(fù)診時三個時間點的面部不同角度的二維圖像，再利用iwitness軟件對圖像進行三維重建并獲取圖像中各測量項目在三維空間中距離或者面積值；實驗對所有受測者鼻唇部8個線性距離及上唇健患側(cè)面積進行測量后，于各分組內(nèi)進行術(shù)前健患側(cè)對應(yīng)測量項目的變化分析，手術(shù)后健患側(cè)對應(yīng)測量項目的變化分析，手術(shù)前后健側(cè)測量項目的變化分析及手術(shù)前后患側(cè)測量項目的變化分析，術(shù)后及術(shù)后復(fù)診時健患側(cè)對應(yīng)測量項目比值的變化分析。實驗中統(tǒng)計學分析軟件使用SPSS l7.0，分析采用配對樣本t檢驗。 結(jié)果1.單側(cè)完全性唇裂測量值變化規(guī)律：1）手術(shù)前健患側(cè)唇峰口角距，健患側(cè)的內(nèi)側(cè)唇高，健患側(cè)的外側(cè)唇高，健患側(cè)上唇面積及健患側(cè)鼻孔寬度，各組對比結(jié)果顯示P＜0.01，有非常顯著的統(tǒng)計學意義，除患側(cè)鼻孔寬度測量值大于健側(cè)外，其余測量項目患側(cè)均小于健側(cè)。2）手術(shù)前后健側(cè)唇峰口角距，健側(cè)的內(nèi)側(cè)唇高，健側(cè)的外側(cè)唇高，健側(cè)上唇面積，患側(cè)唇峰口角距，患側(cè)的內(nèi)側(cè)唇高，患側(cè)的外側(cè)唇高，患側(cè)鼻孔寬度及患側(cè)上唇面積，各組對比結(jié)果顯示P＜0.01，有非常顯著的統(tǒng)計學意義，除患側(cè)鼻孔寬度減小以外，其余各測量項目測量值術(shù)后均有不同程度的增加。3）術(shù)后健患側(cè)的內(nèi)側(cè)唇高，健患側(cè)鼻孔寬度及健患側(cè)上唇面積，各組對比結(jié)果顯示P＜0.01，有非常顯著的統(tǒng)計學意義，術(shù)后患側(cè)測量項目小于健側(cè)。術(shù)后健患側(cè)唇峰口角距，術(shù)后健患側(cè)外側(cè)唇高及手術(shù)前后健側(cè)鼻孔寬度，各組對比結(jié)果顯示P＞0.05，無顯著的統(tǒng)計學差異義，手術(shù)后健患側(cè)唇峰口角距及外側(cè)唇高對稱性恢復(fù)良好，健側(cè)鼻孔跨度手術(shù)前后變化不明顯。4）患者術(shù)后與術(shù)后遠期復(fù)診時健患側(cè)對應(yīng)測量項目比值的對比結(jié)果顯示P＞0.05，無明顯統(tǒng)計學意義。 2.單側(cè)不完全性唇裂測量值變化規(guī)律：1）手術(shù)前健患側(cè)唇峰口角距，健患側(cè)的內(nèi)側(cè)唇高，健患側(cè)的外側(cè)唇高，健患側(cè)上唇面積及健患側(cè)鼻孔寬度，各組對比結(jié)果顯示P＜0.01，，有非常顯著的統(tǒng)計學差異，除患側(cè)鼻孔寬度測量值大于健側(cè)外，其余測量項目患側(cè)均小于健側(cè)。2）手術(shù)前后健側(cè)的內(nèi)側(cè)唇高，健側(cè)上唇面積，患側(cè)唇峰口角距，患側(cè)的外側(cè)唇高，患側(cè)的內(nèi)側(cè)唇高，患側(cè)鼻孔寬度及患側(cè)上唇面積，各組對比結(jié)果顯示顯示P＜0.01，有非常明顯的統(tǒng)計學差異，除患側(cè)鼻孔寬度減小以外，其余各測量項目測量值術(shù)后均有不同程度的增加。手術(shù)前后健側(cè)唇峰口角距，健側(cè)的外側(cè)唇高及患側(cè)外側(cè)唇高，各組對比結(jié)果均顯示P＞0.05，無明顯的統(tǒng)計學差異。3）術(shù)后健患側(cè)唇峰口角距，健患側(cè)的內(nèi)側(cè)唇高及健患側(cè)上唇面積，各組進行對比結(jié)果顯示P＜0.01，有非常明顯的統(tǒng)計學差異，術(shù)后各測量值小于健側(cè)，但是測量值差距較小；術(shù)后健患側(cè)外側(cè)唇高及術(shù)后健患側(cè)鼻孔寬度，各組對比結(jié)果顯示P＞0.05，無明顯的統(tǒng)計學差異，術(shù)后健患側(cè)的外側(cè)唇高及鼻孔寬度對稱性恢復(fù)良好。4）患者術(shù)后與術(shù)后遠期復(fù)診時健患側(cè)對應(yīng)測量項目比值的對比結(jié)果顯示P＞0.05，無明顯統(tǒng)計學意義。 結(jié)論1.單側(cè)唇裂健患側(cè)內(nèi)側(cè)唇高、外側(cè)唇高、唇峰口角距術(shù)后均較術(shù)前有所增加，該結(jié)果提醒術(shù)者在進行設(shè)計時要考慮到裂隙關(guān)閉后組織測量值的變化，點與點的距離因組織張力的改變會有所改變。2.患側(cè)唇峰點的確定是單側(cè)唇裂修復(fù)術(shù)定點設(shè)計的重點，模擬唇裂修復(fù)后與健側(cè)唇峰點相對稱所確定的患側(cè)唇峰點才能能獲得良好的唇峰口角距對稱性。3唇裂修復(fù)后的即刻效果與遠期效果有所變化，因追蹤病例太少及時間太短，沒有獲得明確結(jié)果。
[Abstract]:Objective to study and analyze the characteristics of nasolabial and the changes of nasolabial growth and development after the operation of unilateral cleft lip with iwitness three-dimensional reconstruction software, so as to understand and grasp the relationship between the immediate effect and the long-term effect before and after the operation, and provide reference for the accurate fixed-point design of the repair of cleft lip.
Methods 50 unilateral cleft lip patients aged from 3 months to 2 years old were divided into two groups according to the type of cleft lip, that is, unilateral complete cleft lip group, a total of 30 people, unilateral incomplete cleft lip group, and 20 people. The experiment was taken before, after and after the operation (at least three months after the operation) by single digital photography. A two-dimensional image of different angles of the face at three time points, and then the three-dimensional reconstruction of the image by iwitness software and the value of the distance or area in the three-dimensional space of the measurement items in the image. The experimental results were carried out before the 8 linear distances and the upper lip area of the labial lips of all the subjects. The change analysis of the side corresponding measurement items, the analysis of the changes of the corresponding measurement items on the healthy side after operation, the analysis of the changes of the side measurement items before and after the operation and the change analysis of the items of the affected side measurement before and after the operation, the analysis of the ratio of the corresponding measurement items on the healthy side of the patients after the operation and after the revisit. The statistical analysis software used SPSS L7 in the experiment. .0, a paired sample t test was used.
Results the change of the measured value of 1. unilateral complete cleft lip: 1) the angular distance of the lip peak of the patient before the operation, the height of the medial lip of the healthy side, the high lateral lip of the healthy side, the area of the upper lip of the healthy side, the width of the nostril on the healthy side. The results of each group showed P < 0.01, and the value of the width of the nostrils was greater than that of the healthy side. The other measurements were less than the healthy side.2), the lateral lip angle of the healthy side, the medial lip of the healthy side, the lateral lip of the healthy side, the upper lip area of the healthy side, the lateral lip area of the healthy side, the side lip angle, the lateral lip of the affected side, the lateral lip of the affected side, the lateral nostril width and the area of the upper lip of the side. The results of each group showed a very significant combination. In addition, in addition to the decrease of the width of the nasal nostrils, the measured values of the other measurement items increased.3 after operation. The medial labial height, the width of the nil and the area of the upper lip in the healthy side of the patients after the operation were P < 0.01. The results showed that there was a very significant statistical significance, and the postoperative patient side measurement was less than the healthy side. The posterior lip peak angle, the lateral lip height of the healthy side of the patient and the width of the lateral nostril before and after the operation showed that P > 0.05, there was no significant difference between the two groups, and the high symmetry of the lateral lip and the lateral lip after the operation was well restored, and the changes of the lateral nostril span were not obvious before and after the operation, and the postoperative and postoperative long term after operation were not obvious. The comparison of the corresponding ratio of the healthy side to the measurement item showed that the P > 0.05 was not statistically significant.
2. the change regularity of the measurement value of unilateral incomplete cleft lip: 1) the angle of the lip peak of the patients before the operation, the height of the medial lip of the healthy side, the high lateral lip of the healthy side, the area of the upper lip of the healthy side, the width of the nostril on the healthy side. The results of each group showed P < 0.01, there was a very significant statistical difference, and the measured value of the width of the nostril was greater than that of the healthy side. The lateral lip height of the healthy side, the area of the upper lip of the healthy side, the lateral lip angle of the side, the lateral lip of the affected side, the lateral lip of the affected side, the lateral lip of the affected side, the lateral nostril width and the area of the upper lip of the side of the affected side, the results showed that the width of the lateral nostrils and the area of the upper lip of the affected side of the affected side were lower than that of the healthy side.2. In addition, the measured values of the other measurements were increased in varying degrees. The lateral lip angle of the healthy side, the lateral lip of the healthy side, and the lateral lip of the affected side were high. The results of each group showed P > 0.05, no significant difference in statistics.3. The contrast results showed that P < 0.01, there was a very obvious statistical difference. The measured values were smaller than the healthy side, but the difference of the measured values was small. The lateral lip of the patients after the operation and the width of the nasal nostrils after the operation were P > 0.05. There was no significant difference. The lateral lip height and the width of the nostril were on the healthy side of the patients. A good recovery rate of.4) the comparison of the corresponding ratio between the healthy side and the postoperative side of the patients at postoperative long term follow-up showed that P > 0.05 had no significant statistical significance.
Conclusion 1. unilateral cleft lip with high medial lip, lateral lip high, and lip peak angle distance are all higher than before operation. This result reminds the operator to take into account the changes of tissue measurements after the closure of the fracture. The distance between point and point can be changed by the change of tissue tension, the determination of the.2. side lip peak point is a unilateral cleft lip repair. The focus of the design of the fixed-point design is to simulate the affected side lip peak point identified by the repair of the cleft lip with the healthy side lip peak. The immediate effect and the long-term effect of the.3 cleft lip repair with good lip peak angle distance can be changed, because the trace cases are too few and the time is too short, and no definite results have been obtained.
【學位授予單位】：遵義醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R782.21

【參考文獻】

相關(guān)期刊論文 前10條

1 李莉;;306例先天性唇腭裂流行病學及發(fā)生率變化趨勢分析[J];安徽醫(yī)學;2012年07期

2 代禮,繆蕾,周光萱,朱軍,李剛;1996～2000年中國圍產(chǎn)兒腭裂畸形發(fā)生狀況分析[J];華西口腔醫(yī)學雜志;2004年01期

3 潘景光;;頜面部軟組織形態(tài)的三維測量方法[J];口腔醫(yī)學研究;2009年04期

4 丁常春;陳傳俊;陳曉陽;馮大軍;;改良Millard法修復(fù)單側(cè)不完全性唇裂[J];中國臨床保健雜志;2009年01期

5 范曉楓,楊壯群,文抑西;頜面部軟組織測量技術(shù)的發(fā)展[J];中國美容醫(yī)學;2004年04期

6 張圃,柳春明,劉洪臣,劉蒸;頜面骨整形重建外科VisualFoxPro數(shù)據(jù)庫編程方法[J];中國美容醫(yī)學;2004年05期

7 卞新浩;;改良Millard法修復(fù)先天性單側(cè)唇裂[J];中國美容醫(yī)學;2007年03期

8 王成毅;王麗瓊;張敬德;;單側(cè)完全性唇裂術(shù)后鼻唇畸形的修復(fù)[J];中國美容醫(yī)學;2010年07期

9 何媛璐;尹寧北;陳建;;唇腭裂中心治療數(shù)據(jù)庫的初步建立[J];中國美容醫(yī)學;2011年02期

10 栗淑媛,鄭連斌;中國30個人群頭面部指數(shù)的聚類分析[J];內(nèi)蒙古師范大學學報(自然科學漢文版);2005年03期

本文編號：1950710