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上牙槽前中神经阻滞麻醉解剖学基础——营养管的分布

The anatomical basis for block anesthesia of anterior middle superior alveolar nerve--distribution of nutrient canals
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摘要 目的:比较不同性别、年龄人群在行上牙槽前中神经(AMSA)阻滞麻醉时注射位点之间的差异。方法:选取99例患者的CBCT影像资料,分析不同性别、年龄人群腭侧营养管的数量、直径及水平向、垂直向的位置分布。结果:女性营养管水平向位置与男性相比偏向腭中份,差异具有统计学意义(P<0.05),而不同性别人群营养管的直径、数量及垂直向位置分布差异无统计学意义(P>0.05)。15~20岁人群营养管直径大于其他年龄段人群,差异有统计学意义(P<0.05),而不同年龄段人群营养管在腭侧的数量、水平向及垂直向位置分布差异无统计学意义(P>0.05)。结论:女性人群行AMSA阻滞麻醉时注射位点偏腭中份麻醉效果更好,而行AMSA阻滞麻醉时年龄越小麻醉效果越好。 Objective:To investigate the difference of injection sites between different genders and age groups during superior anterior alveolar middle nerve block anesthesia(AMSA).Methods:CBCT images of 99 patients were collected according to inclusion and exclusion criteria.The number and width of palatal nutrition tube and the location distribution of buccal-palatal,proximal and distal middle direction were analyzed in different groups.Results:From the horizontal direction,the location of nutrient canal in females was more closer to the palatal side than that in males(P<0.05),while there were no statistical difference in the diameter,number and vertical direction distribution of nutrient canal between the gender groups(P>0.05).In the group of aged 15-20 years old,the diameter of nutrition tube holes were larger than that in the other age groups(P<0.05),while there was no statistical difference in the number,horizontal direction,and vertical direction of nutrition tube holes,among the groups(P>0.05).Conclusion:The anesthetic effect of AMSA may be better in the female population,and better in the younger populations.
作者 宿瑞婷 杨琼 石晶 SU Ruiting;YANG Qiong;SHI Jing(Shanxi Medical University School and Hospital of Stomatology,030012 Taiyuan,China;Department of Oral Medicine,the Fifth Clinical Medical College of Shanxi Medical University,Taiyuan)
出处 《实用口腔医学杂志》 CAS CSCD 北大核心 2023年第6期785-789,共5页 Journal of Practical Stomatology
基金 山西省卫生健康委员会项目(编号:2020TD17)。
关键词 上牙槽前中神经 计算机局部麻醉系统 局部麻醉 营养管 Anterior middle superior alveolar Computer-controlled local anesthetic delivery Local anesthesia Nutrition tube
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