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颧骨缩小术相关骨性解剖学观测

发布时间:2018-07-20 12:54
【摘要】: 目的:本研究采用人类学测量的方法,定量分析黑龙江省成年女性颧骨形态及其与周围骨骼的位置关系,建立相关的测量数据,进一步确定颧骨的解剖形态特点,为临床颧骨缩小整复术提供相关数据,同时也为人类学研究提供参考。 方法:1、颧骨复合体的非测量性状的观察:采用人类学方法分别观察成年女性颅骨的颧骨体、颧面孔、颧结节、颧弓上缘、颧骨缘突(颧骨额突上角)、颧骨额突下角的具体解剖形态。2、颧骨复合体相关测量:定量分析颧骨、颧弓及其周围骨骼的位置关系、统计学分析、结果处理,建立相关测量数据。 结果:1、颧骨为面部较突出的部位,是影响容貌的主要特征之一,由菱形的骨体和四个骨突组成,有三个面和五个缘。2、颧面孔出现1-2个者居多。3、颧骨的外形高点多表现为颧结节,出现率约为80%。颧突点位于颧骨的中下1/3交界处,该处颧骨的厚度,左侧(6.68±1.64)mm,右侧(6.77±1.43)mm,左右两侧无显著性差异(P㧐0.05)。4、颧弓上缘形态多表现为直线型。5、颧骨额突上角和下角都以钝角为多见。6、眶下孔距离同侧眶下缘和面正中线的距离分别为,左侧:(8.33±1.48)mm、(25.01±1.32)mm;右侧:(7.77±1.56)mm、(25.20±1.07)mm。左右两侧均无显著性差异(P㧐0.05)。7、颧骨额突至上颌窦外上角的距离和上颌窦前壁的厚度分别为,左侧:(42.57±5.8)mm、(0.50±0.03)mm;右侧:(43.02±6.4)mm、(0.49±0.05)mm,左右两侧均无显著性差异(P㧐0.05)。8、颧弓和颧骨颞突长度分别为,左侧:(28.67±5.09)mm、(17.99±3.23)mm;右侧:(30.37±11.14)mm、(20.37±5.54)mm,左右两侧均无显著性差异(P㧐0.05)。 结论:为临床颧骨缩小整复手术更加精确、更加安全,减少手术并发症的发生提供重要理论参数。
[Abstract]:Objective: to quantitatively analyze the morphology of zygomatic bone and its relationship with the surrounding bones in adult females in Heilongjiang Province by using anthropological measurements, and to establish relevant measurement data to determine the anatomical characteristics of the zygomatic bones. To provide relevant data for clinical zygomatic reduction and reconstruction, and also provide a reference for anthropological research. Methods observation of non-measured characters of zygomatic complex: the zygomatic body, zygomatic face, zygomatic nodule and superior edge of zygomatic arch of adult female skull were observed by anthropological method. Zygomatic marginal process (superior horn of zygomatic frontal process), specific anatomical morphology of inferior frontal process of zygomatic bone. Correlation measurement of zygomatic complex: quantitative analysis of the location of zygomatic bone, zygomatic arch and its surrounding bones, statistical analysis, processing of results, and establishment of relevant measurement data. Results the zygomatic bone was the prominent part of the face, which was one of the main features of facial appearance. It was composed of a rhombic bone body and four bony processes, with three faces and five edges. The zygomatic faces with 1-2 faces were more than .3.The high points of the zygomatic bones were mostly zygomatic nodules. The occurrence rate is about 80%. The zygomatic process is located at the middle and bottom third of the zygomatic bone, where the thickness of the zygomatic bone, The left side (6.68 卤1.64) mm, the right side (6.77 卤1.43) mm, the left side: (8.33 卤1.48) mm, (25.01 卤1.32) mm; the right side: (7.77 卤1.56) mm, (25.20 卤1.07) mm; the right side: (7.77 卤1.56) mm, (25.20 卤1.07) mm; the distance between the inferior orbital foramen and the middle line of the same side was (8.33 卤1.48) mm, (25.01 卤1.32) mm; the right side: (7.77 卤1.56) mm, (25.20 卤1.07) mm; the left side: (8.33 卤1.48) mm, (25.01 卤1.32) mm; the right side: (7.77 卤1.56) mm, (25.20 卤1.07) mm. There was no significant difference between the left and the right sides (P0. 05). The distance from the frontal process of zygomatic bone to the upper angle of the external maxillary sinus and the thickness of the anterior wall of the maxillary sinus were (42. 57 卤5. 8) mm, (卤0. 03) mm on the left side, (43. 02 卤6. 4) mm, (卤0. 49 卤0. 05) mm on the right side and (43. 02 卤6. 4) mm, () 0. 49 卤0. 05 mm on the right side. The length of the zygomatic arch and the temporal process of zygomatic bone were respectively. Left side: (28.67 卤5.09) mm, () 17.99 卤3.23 mm, right: (30.37 卤11.14) mm, (: 20.37 卤5.54) mm, there was no significant difference between left and right sides (P0. 05). Conclusion: this study provides important theoretical parameters for the reduction of zygomatic bone and the reduction of complications.
【学位授予单位】:佳木斯大学
【学位级别】:硕士
【学位授予年份】:2007
【分类号】:R782.2;R322

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