摘要
目的 探讨锥形束计算机断层扫描(CBCT)上颌窦黏膜增厚与上颌后牙区根尖周病变的关系。方法 收集2024年4月至2025年4月在嘉兴市第一医院拍摄CBCT的120例患者的临床资料,根据上颌后牙区根尖周病变情况分为根尖周病变组及正常组,比较两组上颌窦黏膜厚度及增厚情况,分析根尖周病变组患者牙周指标与上颌窦黏膜增厚的关系。结果 根尖周病变组上颌窦黏膜厚度高于正常组(P<0.001);根尖周病变组上颌窦黏膜增厚占比为64.89%,高于正常组的27.83%(P<0.001);根尖周病变组上颌窦黏膜增厚程度高于正常组(P=0.001);两组上颌窦黏膜增厚类型比较,差异无统计学意义;不同上颌后牙根尖周病变与上颌窦底的位置分类患者增厚程度比较,差异无统计学意义;不同上颌后牙根尖周病变直径分类患者增厚程度比较,差异有统计学意义(P=0.002);不同上颌后牙根尖周病变与上颌窦底的位置及病变直径患者增厚类型比较,差异无统计学意义。结论 上颌后牙区根尖周病变与上颌窦黏膜增厚存在联系,早期干预根尖周病变对预防上颌窦疾病具有重要价值。
Objective To explore the relationship between thickening of maxillary sinus mucosa by cone-beam computed tomography(CBCT)and periapical lesions in posterior maxillary tooth area.Methods A total of 120 patients undergoing CBCT in The First Hospital of Jiaxing were enrolled from April 2024 to April 2025.According to presence or absence of periapical lesions in posterior maxillary tooth area,they were divided into periapical lesion group and normal group.The thickness and thickening of maxillary sinus mucosa in the two groups were compared,and the relationship between periodontal indexes and thickening of maxillary sinus mucosa in periapical lesion group was analyzed.Results The thickness of maxillary sinus mucosa in periapical lesion group was higher than that in normal group(P<0.001),the proportion of thickening of maxillary sinus mucosa in periapical lesion group was higher than that in normal group(64.89%vs 27.83%,P<0.001),and thickening degree of maxillary sinus mucosa in periapical lesion group was greater than that in normal group(P=0.001).There was no significant difference in thickening types of maxillary sinus mucosa between the two groups.There was no significant difference in thickening degree among patients with different sites of maxillary sinus floor,but there were significant differences among patients with different periapical lesion diameters(P=0.002).There was no significant difference in thickening types among patients with different sites of maxillary sinus floor and lesion diameters.Conclusion There is a correlation between periapical lesions in posterior maxillary tooth area and thickening of maxillary sinus mucosa.Early intervention of periapical lesions is of great value in the prevention of maxillary sinus diseases.
作者
房义康
董伟杰
张建明
FANG Yikang;DONG Weijie;ZHANG Jianming(Department of Stomatology,Affiliated Hospital of Jiaxing University,The First Hospital of Jiaxing,Jiaxing 314001,China)
出处
《空军军医大学学报》
2025年第10期1291-1295,共5页
Journal of Air Force Medical University
基金
浙江省医药卫生科技计划项目(2025KY1599)。
关键词
锥形束计算机断层扫描
上颌后牙区
上颌窦
黏膜上皮增厚
根尖周病变
牙源性病变
口腔疾病
影像学诊断
cone-beam computed tomography
posterior maxillary tooth area
maxillary sinus
mucosal epithelial thickening
periapical lesion
odontogenic lesion
oral disease
imaging diagnosis
