成年不完全性腭裂未手术患者与正常成人颅面形态的对比分析

A Comparative Analysis of Craniofacial Morphology on Adult Patients with Incomplete Cleft Palate and Normal Adults

目的:探讨在去除手术因素的前提下,先天性不完全性腭裂畸形本身对颅面部生长发育的影响。方法:选择南昌大学附属口腔医院口腔颌面外科(2008~2014年)收治的30例成年不完全性腭裂未手术患者作为研究对象;同时收集本地区成人正常牙合人群30例为对照组。拍摄头颅定位正侧位片,运用Winceph8.0进行头影测量,比较两者各测量指标间是否存在统计学差异。结果:成年不完全性腭裂未手术患者的S-N,N-ANS,ZAL-ZAR,Gn-Co值均较对照组小(P<0.05),N-Ba,ANS-Ptm,SNA,Co-Go值均较对照组明显减小(P<0.01),SN/GoMe值较对照组明显增大(P<0.01),其余测量项目与对照组相比无统计学差异。结论:腭裂畸形本身对颅面部发育有明显抑制作用。

Objective：To analysis the craniofacial morphology on adult unoperated incomplete cleft palate（UICP）patients.Methods：Thirty cases of adult UICP patients were selected from the Department of Oral and Maxillofacial Surgery of the Affiliated Stomatological Hospital of Nanchang University（2008-2014）as the research objects.Thirty cases of adults with normal occlusion were selected at the same region as the control group.Each object was taken the lateral and posteroanterior cephalograms.Winceph8.0 cephalometric analysis software was used to compare the UICP patients with the normal controls.Results：By comparing with the normal control group,S-N,NANS,ZAL-ZAR,and Gn-Co values were smaller（P〈0.05）.N-Ba,ANS-Ptm,Co-Go,and SNA were significantly smaller（P〈0.01）.SN/GoMe were significantly increased in the UICP patients group（P〈0.01）.Conclusion：Cleft palate deformities had obvious inhibitory effect on the craniofacial development.