三维数字化解剖测量颞下颌关节的骨性结构.docVIP

三维数字化解剖测量颞下颌关节的骨性结构 沈晓玲，刘 敏，黄海霞，王 频(四川医科大学附属口腔医院修复科，四川省泸州市 646000) 引用本文：沈晓玲，刘敏，黄海霞，王频. 三维数字化解剖测量颞下颌关节的骨性结构[J].中国组织工程研究，2016，20(20):2893-2898. DOI: 10.3969/j.issn.2095-4344.2016.20.001 ORCID: 0000-0003-1007-5914(沈晓玲) 文章快速阅读： 文题释义： 颞下颌关节：颞下颌关节由下颌骨髁突、颞骨关节面、居于二者之间的关节盘、关节周围的关节囊和关节韧带(颞下颌韧带、蝶下颌韧带、茎突下颌韧带)所组成。是颌面部唯一的左右双侧联动关节，具有一定的稳定性和多方向的活动性。在肌肉作用下产生与咀嚼、吞咽、语言、及表情等有关的各种重要活动。 数字解剖：是通过计算机技术，将人体结构数字化，在电脑屏幕上出现看得见的、能够调控的虚拟人体形态，进一步测量比较分析的学科。 摘要 背景：颞下颌关节结构功能复杂，国外假体不适合国人解剖学参数，因此临床急需相关参数以指导适合国人假体的设计。 目的：通过计算机三维数字化法对颞下颌关节应用解剖学参数进行测量，为人工颞下颌关节设计改进提供参考。 方法：选取正常颞下颌关节CT连续影像学扫描资料30例，层厚0.625 mm，采用Mimics10.01软件进行三维数字化重建并测量关节窝、髁突等8项相关解剖学参数。 结果与结论：下颌头、下颌颈和下颌窝内外径均大于前后径，下颌孔位于下颌支中后部，下颌头与冠突的距离大于下颌切迹的深度，全部指标左右侧别间差异无显著性意义。结果说明颞下颌关节骨性结构解剖学参数具有一定规律，所以实验结果可为标准型颞下颌关节假体设计提供理论参数。 关键词： 组织构建；组织工程；颞下颌关节；数字化；解剖学 主题词： 颞下颌关节；解剖学；组织工程 Three-dimensional digital model measurements of the temporomandibular joint Shen Xiao-ling, Liu Min, Huang Hai-xia, Wang Pin (Department of Prosthodontics, Hospital of Stomatology, Southwest Medical University, Luzhou 646000, Sichuan Province, China) Abstract BACKGROUND: Guidances for design of Chinese people’s temporomandibular joint prosthesis are urgently needed because foreign prosthesis is unsuitable for Chinese people due to variant anatomy parameters. OBJECTIVE: To provide a reference for improving the design of artificial temporomandibular joint through computer three-dimensional digital measures of the anatomy parameters of the temporomandibular joint. METHODS: Continuous CT data with layer thick 0.625 mm of 30 normal temporomandibular joints were selected. Three-dimensional digital reconstruction and eight related anatomy parameter measurements of the articular fossa and condylar of the joints were performed using Mimics10.01 software. RESULTS AND CONCLUSION: The internal and external diameter of the mandibular fossa, head of mandible and neck of mandible were greater than the anterior and posterior diameter. The mandibular foramen