中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (30): 5661-5664.doi: 10.3969/j.issn.1673-8225.2011.30.037

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

X射线及CT三维重建测量在颌面部整形修复中的应用

罗焕江,龙腾河,赵海波,梁洪峰   

  1. 广西医科大学第四附属医院放射科,广西壮族自治区柳州市545005
  • 收稿日期:2011-03-07 修回日期:2011-05-24 出版日期:2011-07-23 发布日期:2011-07-23
  • 通讯作者: 龙腾河,副教授,副主任医师,广西医科大学第四附属医院放射科,广西壮族自治区柳州市 545005 longtenhe1965@yahoo.com.cn
  • 作者简介:罗焕江,男,1970年生,壮族,广西壮族自治区来宾县人,2002年右江医学院毕业,主管技师,主要从事CT三维技术在临床上的应用研究。

Application of X-ray and CT three-dimensional reconstruction measure to reshaping and repair of maxillofacial region

Luo Huan-jiang, Long Teng-he, Zhao Hai-bo, Liang Hong-feng   

  1. Department of Radiology, Fourth Affiliated Hospital, Guangxi Medical University, Liuzhou  545005, Guangxi Zhuang Autonomous Region, China
  • Received:2011-03-07 Revised:2011-05-24 Online:2011-07-23 Published:2011-07-23
  • Contact: Long Teng-he, Associate professor, Associate chief physician, Department of Radiology, Fourth Affiliated Hospital, Guangxi Medical University, Liuzhou 545005, Guangxi Zhuang Autonomous Region, China longtenhe1965@yahoo.com.cn
  • About author:Luo Huan-jiang, Technician-in-charge,Department of Radiology, Fourth Affiliated Hospital, Guangxi Medical University, Liuzhou 545005, Guangxi Zhuang Autonomous Region, China

摘要:

背景:颌面骨是面部软组织附丽的基础,人的个体又不尽相同。因此,研究各种测量能精确全面地描述颌面部测量方法是十分必要的。
目的:对比X射线及三维CT测量在颌面部整形修复中的应用进展。
方法:应用计算机检索PubMed数据库及CNKI数据库,在标题和摘要中以“颌面部,骨组织,三维重建测量法”或“maxillofacial,bone tissue,measurement of three-dimensional reconstruction”为检索词进行检索。最终纳入符合标准的文献23篇。
结果与结论:X射线三维测量法的优点是:价格低廉,放射剂量相对较低,数据获取时间相对较短,但有标志点定点的可分辨性较差等缺陷。CT三维重建测量法的优点:测量内容全面,准确性和精密度,方法可靠,可重复,应用方向广泛;但费用相对较高,检查所需时间相对于传统平片检查仍较长,目前临床上作CT扫描时患者所接受的辐射剂量仍比X射线平片检查所受的辐射剂量要多。

关键词: 颌面部, 骨组织, X射线三维重建测量法, CT三维重建测量法, 整形

Abstract:

BACKGROUND: Maxillofacial bone is the basis of facial soft tissue, and different in the individuals. It is necessary to study various measure methods to precisely measure maxillofacial region.
OBJECTIVE: To compare application progress of X-ray and three-dimensional CT measure in reshaping and repair of maxillofacial region.
METHODS: We retrieved PubMed Database and China National Knowledge Infrastructure. The key words were “maxillofacial, bone tissue, measurement of three-dimensional reconstruction” and searched in title and abstract. Finally 23 articles were included.
RESULTS AND CONCLUSION: The advantage of X-ray three-dimensional measure was as follows: low price, low radiation dose, short data collection time; shortcoming was as follows: poor resolvability of mark point and fixed point. The advantage of CT three-dimensional measure was as follows: full measure content, high accuracy and precision, reliable method, repeatable, and extensive application; however, the cost was high, and the duration of examination was relatively longer compared with traditional plain film. At present, the radiation dose was more in patients receiving CT scanning compared with X-ray plain film.

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