朝鲜族和汉族成人上颌窦解剖结构锥形束CT分析

doi:10.13418/j.issn.1001-165x.2025.5.05

PDF(2317 KB)

中国临床解剖学杂志 ›› 2025, Vol. 43 ›› Issue (5) : 529-535. DOI: 10.13418/j.issn.1001-165x.2025.5.05

断层影像解剖

朝鲜族和汉族成人上颌窦解剖结构锥形束CT分析

张艺泽¹，李京旭¹*，南正斌²

作者信息 +

Conical beam CT analysis of maxillary sinus anatomical structure in adults of Korean nationality and Han nationality

Zhang Yize¹, Li Jingxu¹*, Nan Zhenbin²

Author information +

文章历史 +

摘要

目的利用锥形束CT（CBCT）研究延边地区朝鲜族和汉族上颌窦解剖结构与种族和性别的关系，为临床上颌窦提升术提供依据。方法选取2020年1月~2022年12月于延边大学附属口腔科就诊的300例患者的CBCT影像学资料。利用SPSS26.0软件进行数据的统计分析。结果朝鲜族上颌窦底形态以E2型占比最多（27.88%），以E3型占比最少（2.88%），汉族上颌窦底形态以C型占比最多（26.04%），E3型占比最少（2.86%）。两个民族在A型、B型、C型、D型四种分型上具有统计学差异。朝鲜族和汉族上颌窦外侧壁厚度的平均值分别为（2.26±1.19）mm和（2.35±1.63）mm，两个民族之间不具有统计学差异。朝鲜族和汉族上颌窦角度（MSA）的平均值分别为（81.25±11.62）°、（82.12±11.71）°，两个民族之间不具有统计学差异。朝鲜族和汉族的自然孔距窦底距离的平均值分别为（32.09±5.52） mm和（30.65±5.13） mm，两个民族之间存在差异。结论延边地区朝鲜族和汉族成人上颌窦解剖结构存在部分差异，建议临床给予重视。CBCT能准确评估上颌窦的相关解剖结构，为临床工作提供精确定位与分析。

Abstract

Objective A study using Conical beam CT (CBCT) to investigate the differences in anatomical structure of maxillary sinus between ethnicity and gender in Yanbian region's Korean nationality and Han nationality, providing a basis for clinical maxillary sinus lift procedures. Methods 300 CBCT images of patients in Department of Stomatology at Affiliated Hospital of Yanbian University were gathered from January 2020 to December 2022. Statistical analysis of the data was conducted using SPSS 26.0 software. Results Type E2 accounted for the most (27.88%) and type E3 the least (2.88%) in maxillary sinus floor morphology of Korean nationality. Type C accounted for the most (26.04%) and type E3 the least (2.86%) in maxillary sinus floor morphology of Han population. There were statistical differences in morphological types of maxillary sinus floor between two nationalities in A, B, C, and D. The average thicknesses of lateral maxillary sinus wall of Korean and Han nationalities were (2.26±1.19) mm and (2.35±1.63) mm, respectively. There was no statistically significant difference between two nationality groups. The mean MSA of Korean and Han was (81.25±11.62)° and (82.12±11.71)°, respectively, and the two nationalities did not show a significant difference. The average distance between natural ostium and sinus floor was (32.09±5.52) mm in Korean nationality and (30.65±5.13) mm in Han nationality. There was significant difference between two nationalities. Conclusions In clinical work, attention should be paid to some differences in anatomy of maxillary sinus structure between Korean nationality and Han nationality adults in Yanbian area. CBCT can accurately assess the relevant anatomical structures of maxillary sinus, providing precise localization and analysis for clinical practice.

导出引用

张艺泽, 李京旭, 南正斌. 朝鲜族和汉族成人上颌窦解剖结构锥形束CT分析[J]. 中国临床解剖学杂志. 2025, 43(5): 529-535 https://doi.org/10.13418/j.issn.1001-165x.2025.5.05

Zhang Yize, Li Jingxu, Nan Zhenbin. Conical beam CT analysis of maxillary sinus anatomical structure in adults of Korean nationality and Han nationality [J]. Chinese Journal of Clinical Anatomy. 2025, 43(5): 529-535 https://doi.org/10.13418/j.issn.1001-165x.2025.5.05

中图分类号： R322.31 R762

参考文献

[1] He J, Zhao B, Deng C, et al. Assessment of implant cumulative survival rates in sites with different bone density and related prognostic factors: an 8 -year retrospective study of 2,684 implants[J]. Int J Oral Max Impl,2015,30(2): 360-371.DOI:10.11607/jomi.3580.
[2] 秦磊.冲压法上颌窦底提升同期牙种植体植入术的临床前瞻性研究[D]. 第四军医大学, 2016.
Qin L. Osteotome sinus floor elevation with simultaneous placement of dental implants: A prospective clinical study[D]. The Fourth Military Medical University, 2016.
[3] 褚杨, 王宇, 关淼升, 等.上颌窦外侧壁厚度的CBCT影像测量分析[J].口腔颌面修复学杂志,2020, 21(5):286-290. DOI:10.19748/j.cn.kqxf.1009-3761.2020.05.007.
Chu Y, Wang Y, Guan MS, et al. CBCTimaging analysis of thickness of lateral wall of maxillary sinus[J]. Chinese Journal of Prosthodontics, 2020, 21(5):286-290. DOI:10.19748/j.cn.kqxf.1009-3761.2020.05.007.
[4] Niu L, Wang J, Yu H, et al. New classification of maxillary sinus contours and its relation to sinus floor elevation surgery[J]. Clin Implant Dent Relat Res, 2018, 20(4): 493-500. DOI:10.1111/cid.12606.
[5] Simsek Kaya G, Daltaban O, Kaya M, et al. The potential clinical relevance of anatomical structures and variations of the maxillary sinus for planned sinus floor elevation procedures: A retrospective cone beam computed tomography study[J]. Clin Implant Dent Relat Res, 2019, 21(1): 114-121. DOI:10.1111/cid.12703.
[6] Kalyvas D, Kapsalas A, Paikou S, et al. Thickness of the Schneiderian membrane and its correlation with anatomical structures and demographic parameters using CBCT tomography: a retrospective study[J]. Int J Implant Dent, 2018, 4(1):32. DOI: 10.1186/s40729-018-0143-5.
[7] Do J, Han JJ. Anatomical Characteristics of the Accessory Maxillary Ostium in Three-Dimensional Analysis[J]. Medicina (Kaunas), 2022, 58(9):1243. DOI: 10.3390/medicina58091243.
[8] Al-moraissi E, Elsharkawy A, Abotaleb B, et al. Does intraoperative perforation of schneiderian membrane during sinus lift surgery causes an increased the risk of implants failure:A systematic review and meta regression analysis[J]. Clin Implant Dent Relat Res, 2018, 20(5): 882-889. DOI:10.1111/cid.12660.
[9] Marin S, Kirnbauer B, Rugani P, et al. Potential risk factors for maxillary sinus membrane perforation and treatment outcome analysis[J]. Clin Implant Dent Relat Res, 2019, 21(1): 66-72.DOI:10.1111/cid.12699.
[10] 翟财红.基于CBCT的中老年人上颌后牙区无牙位点的上颌窦解剖结构研究[D].浙江中医药大学, 2021.DOI:10.27465/d.cnki.gzzyc.2021.000083.
Zhai CH. Study on the anatomic structure of maxillary sinus in middle-aged and elderly people with edentulous site in the posterior maxillary based on CBCT[D]. Zhejiang Chinese Medical University，2021.DOI:10.27465/d.cnki.gzzyc.2021.000083.
[11]Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone[J]. J Oral Surg, 1980, 38(8):613-616.
[12]Betts NJ, Miloro M. Modification of the sinus lift procedure for septa in the maxillary antrum[J]. J Oral Maxillofac Surg, 1994,52(3):332-333. DOI: 10.1016/0278-2391(94)90313-1.
[13]Sailer HF. A new method of inserting endosseous implants in totally atrophic maxillae[J]. J Craniomaxillofac Surg, 1989, 17(7):299-305. DOI:10.1016/s1010-5182(89)80057-5.
[14] 张玮, 葛菲, 戴永刚, 等. 维吾尔族与汉族患者上颌窦形态差异及其对种植手术的影响[J]. 新疆医科大学学报，2017,40(4):455-459.
Zhang W, Ge F, Dai YG, et al. The Morphological differences of maxillary sinus between Uyghur and Han nationality and impact of implant operation[J]. Journal of Xinjiang Medical University, 2017,40(4):455-459.
[15]Huang Y T, Hu S W, Huang J Y, et al. Assessment of relationship between maxillary sinus membrane thickening and the adjacent teeth health by cone-beam computed tomography[J]. J Dent Sci, 2021, 16(1):275-279. DOI:10.1016/j.jds.2020.05.002.
[16]Dandekeri SS, Hegde C, Kavassery P, et al. CBCT study of morphologic variations of maxillary sinus septa in relevance to sinus augmentation procedures[J]. Ann Maxillofac Surg, 2020, 10(1): 51-56. DOI:10.4103/ams.ams_141_19.
[17]郑小菲, 莫安春, 朱娟芳, 等. 上颌窦解剖因素对经牙槽嵴顶上颌窦底提升术成骨效果的影响[J].华西口腔医学杂志, 2020, 38(6):652-656. DOI: 10.7518/hxkq.2020.06.008.
Zheng XF, Mo AC, Zhu JF, et al. Effect of anatomical parameters of maxillary sinus on the outcomes of transcrestal sinus lift[J]. West China Journal of Stomatology, 2020, 38(6):652-656. DOI: 10.7518/hxkq.2020.06.008.
[18]Sakuma S, Ferri M, Imai H, et al. Involvement of the maxillary sinus ostium (MSO) in the edematous processes after sinus floor augmentation: A cone-beam computed tomographic study[J]. Int J Implant Dent, 2020, 6(1):1-9. DOI: 10.1186/s40729-020-00233-7.
[19]Zijderveld SA, Van Den Bergh JP, Schulten EA, et al. Anatomical and surgical findings and complications in 100 consecutive maxillary sinus floor elevation procedures[J]. J Oral Maxillofac Surg, 2008, 66(7): 1426-1438. DOI:10.1016/j.joms.2008.01.027.
[20]Solar P, Geyerhofer U, Traxler H, et al. Blood supply to the maxillary sinus relevant to sinus floor elevation procedures[J]. Clin Oral Implants Res, 1999, 10(1):34-44. DOI:10.1034/j.1600-0501.1999.100105.x.
[21]Soundarajan S, Kaarthikeyan G. Evaluation of alveolar antral anastomosis in south Indian population using cone beam computed tomography: a prospective study[J]. Oral Radiol, 2023, 39(1):101-107. DOI: 10.1007/s11282-022-00607-0.
[22]Varela-centelles P, Loira M, González-mosquera A, et al. Study of factors influencing preoperative detection of alveolar antral artery by CBCT in sinus floor elevation. Sci Rep, 2020, 10(1):10820. DOI: 10.1038/s41598-020-67644-9.
[23]Menhall A, Natto ZS, Ghosn G, et al. Prevalence of the alveolar antral artery and its accessory arteries in cone beam computed tomography scans. J Oral Implantol, 2022, 48(5):391-398. DOI: 10.1563/aaid-joi-D-20-00307.
[24]Laovoravit V, Kretapirom K, Pornprasertsuk-damrongsri S. Prevalence and morphometric analysis of the alveolar antral artery in a group of Thai population by cone beam computed tomography[J]. Oral Radiol, 2021, 37(3):452-462. DOI: 10.1007/s11282-020-00478-3.
[25]Hennessy RJ, Stringer CB. Geometric morphometric study of the regional variation of modern human craniofacial form[J]. Am J Phys Anthropol, 2002, 117(1): 37-48. DOI:10.1002/ajpa.10005.