CBCT辅助诊断慢性牙周炎导致附着丧失的精确性研究(1)
[摘要] 目的 CBCT辅助诊断慢性牙周炎附着丧失的精确性进行观察、总结和分析。 方法 方便选取该院从2016年5月—2017年10月接收的86例慢性牙周炎患者852颗患牙的为研究对象，对比根尖X线和锥形束CT的口腔检查效果。结果 锥形束CT诊断的86例慢性牙周炎患者的852颗患牙近中及远中的附着丧失数值的准确度明显优于根尖X线(P<0.05)，且能够测出唇侧和舌侧牙槽骨的破坏情况。 两组患者附着丧失检测结果对比86例患者852颗患牙影像学CBCT检查近中远中组附着丧失为(5.5±0.6)mm，(5.5±0.5)mm;临床探诊近中(5.6±0.4)mm，远中(5.5±0.7)mm;该86例患者852颗患牙同样用X线片平行投照法拍摄后附着丧失近中为(5.1±0.4)mm远中为(5.1±0.9)mm，临床探诊近中(5.6±0.5)mm，远中(5.5±0.7)mm;观察组患者近中及远中的附着丧失数值准确度明显高于对照组(P<0.05)。 结论 锥形束CT的辅助诊准确性高，适合广泛应用。
[关键词] 锥形束CT;慢性牙周炎;附着丧失
[中图分类号] R781 [文献标识码] A [文章编号] 1674-0742(2018)12(c)-0030-03
[Abstract] Objective To observe， summarize and analyze the accuracy of CBCT adjunctive diagnosis of attachment loss caused by the chronic periodontitis. Methods 852 affected teeth from 86 cases admitted and treated in our hospital from May 2016 to October 2017 were selected as the research objects， and the examination effect of periapical X ray and cone beam CT was compared. Results The accuracy of attachment loss values in mesial and distal regions of 852 affected teeth from 86 cases was obviously better than that of periapical X ray(P<0.05)， and it could measure the destruction of alveolar bone on lip and lingual side， and the attachment loss values in the mesial and distal group after the CBCT examination of 852 affected teeth from 86 cases were respectively (5.5±0.6)mm， (5.5±0.5)mm; and the mesial and distal values in the clinical visit were respectively(5.6±0.4)mm and (5.5±0.7)mm， and the mesial and distal attachment loss values after the shooting by X ray parallel projection method were respectively (5.1±0.4)mm and (5.1±0.9)mm， and the mesial and distal values in the clinical visit were respectively (5.6±0.5)mm and (5.5±0.7)mm， and the accuracy of attachment loss values in the mesial and distal regions in the observation group was obviously higher than that in the control group(P<0.05). Conclusion The adjunctive accuracy of cone-beam CT is high， which is suitable for the wide application.
[Key words] Cone-beam CT; Chronic periodontitis; Attachment loss
牙周炎是口腔科常見的疾病之一，在该病的诊断过程中，准确的诊断牙槽骨的具体缺损情况对于病情的评估和针对性的治疗十分重要，直接影响了患者的预后。牙周探诊是确定附着丧失的重要方法，而影像学检查也越来越多地应用于牙周炎的诊断和治疗评价[1-3]。该研究以该院2016年5月—2017年10月接受的慢性牙周炎86例患者852颗患牙为研究对象，对比了锥形束CT和根尖X线片对于牙周炎附着丧失的准确性，旨在为慢性牙周炎骨缺损的诊断提供参考数据，现报道如下。
1 资料与方法
1.1 一般资料
方便选取该院收治的慢性牙周炎患者作为研究对象，共86例，男54例，女32例，年龄为24～63岁，平均年龄(41.6±5.3)岁，患牙852例，均患有轻，中度牙周炎，经过了患者的同意，随机分为两组。经统计，两组患者的一般资料比较的结果近似，差异无统计学意义(P>0.05)，适合对比分析。该研究经过了该院伦理委员会批准，且所有人员均知情同意该次研究。, 百拇医药(田艳艳 高善玲)
[关键词] 锥形束CT;慢性牙周炎;附着丧失
[中图分类号] R781 [文献标识码] A [文章编号] 1674-0742(2018)12(c)-0030-03
[Abstract] Objective To observe， summarize and analyze the accuracy of CBCT adjunctive diagnosis of attachment loss caused by the chronic periodontitis. Methods 852 affected teeth from 86 cases admitted and treated in our hospital from May 2016 to October 2017 were selected as the research objects， and the examination effect of periapical X ray and cone beam CT was compared. Results The accuracy of attachment loss values in mesial and distal regions of 852 affected teeth from 86 cases was obviously better than that of periapical X ray(P<0.05)， and it could measure the destruction of alveolar bone on lip and lingual side， and the attachment loss values in the mesial and distal group after the CBCT examination of 852 affected teeth from 86 cases were respectively (5.5±0.6)mm， (5.5±0.5)mm; and the mesial and distal values in the clinical visit were respectively(5.6±0.4)mm and (5.5±0.7)mm， and the mesial and distal attachment loss values after the shooting by X ray parallel projection method were respectively (5.1±0.4)mm and (5.1±0.9)mm， and the mesial and distal values in the clinical visit were respectively (5.6±0.5)mm and (5.5±0.7)mm， and the accuracy of attachment loss values in the mesial and distal regions in the observation group was obviously higher than that in the control group(P<0.05). Conclusion The adjunctive accuracy of cone-beam CT is high， which is suitable for the wide application.
[Key words] Cone-beam CT; Chronic periodontitis; Attachment loss
牙周炎是口腔科常見的疾病之一，在该病的诊断过程中，准确的诊断牙槽骨的具体缺损情况对于病情的评估和针对性的治疗十分重要，直接影响了患者的预后。牙周探诊是确定附着丧失的重要方法，而影像学检查也越来越多地应用于牙周炎的诊断和治疗评价[1-3]。该研究以该院2016年5月—2017年10月接受的慢性牙周炎86例患者852颗患牙为研究对象，对比了锥形束CT和根尖X线片对于牙周炎附着丧失的准确性，旨在为慢性牙周炎骨缺损的诊断提供参考数据，现报道如下。
1 资料与方法
1.1 一般资料
方便选取该院收治的慢性牙周炎患者作为研究对象，共86例，男54例，女32例，年龄为24～63岁，平均年龄(41.6±5.3)岁，患牙852例，均患有轻，中度牙周炎，经过了患者的同意，随机分为两组。经统计，两组患者的一般资料比较的结果近似，差异无统计学意义(P>0.05)，适合对比分析。该研究经过了该院伦理委员会批准，且所有人员均知情同意该次研究。, 百拇医药(田艳艳 高善玲)