摘要
目的观察腺样体肥大在不同年龄组儿童牙颌面部发育的临床表现。方法运用计算机辅助x线头影测量技术，将68例腺样体肥大患儿（a／nI〉0．71）分为A组25例（3～4岁，病程2～3年）、B组27例（5～6岁，病程2～4年）及C组16例（7～8岁，病程3-5年）；同时选择20例健康儿童（3-8岁）作为对照组，行x线头影测量。结果A、B、c三组分别与对照组比较，ANB角、上下中切牙角均减小（P〈0．01），FH-MP、Y轴角、ABS-PNS值等均增大（P〈0．01）。A组与c组比较，ANB、FH-MP、Y轴角、ABS-PNS等均减小（P〈0．05），上下中切牙角增大（P〈0．05）。C组与对照组比较，SNB值减小（P〈0．05），L1-NB增大（P〈0．05），其余组间比较差异无统计学意义。结论腺样体肥大对儿童的牙颌面部发育有一定影响，且病程越长影响越明显。
Objective To observe the clinical features of tooth maxillofacial development in children with enlarged ade- noid. Methods Craniofacial morphology was studied by computerized cephalometric analysis in 68 children with adenoid hypertrophy （ A/N≥0.71 ）. The patients were divided into three groups ： group A （25 patients aged 3 to 4 years, course of 2-3 years）, group B （27 patients aged 5 to 6 years, course of 2-4 years） and group C（16 patients aged 7 to 8 years, course of 3-5 years）. 20 healthy children were enrolled （3-8 years old） as the control group. Results Compared with the control group, the ANB angle and the up and down central incisor angle were reduced in groups A, B and C （ P 〈 0.01 ）, while ANB, FH - NIP, Y axis Angle, and ABS-equivalent PNS values were increased （ P 〈 0.01 ）. Compared with group C, ANB, FH-MP, Y axis Angle, and ABS-PNS equivalent were decreased and the tooth angle were increased in group A （P 〈 0.05 ）. In group C, SNB value was decreased and L1-NB increased compared with the control group （ P 〈 0.05）, but the two had no significantly differences between the rest groups. Conclusion Adenoid hypertrophy can result in a great impact on children＇s dental maxillofacial growth which is more obvious with an increase of the course.
出处
《山东大学耳鼻喉眼学报》
CAS
2013年第5期52-54,58,共4页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
腺样体肥大
牙颌面部发育
头影测量
儿童
Adenoid hypertrophy
Dental maxillofacial development
Cephalometry
Children
