伊帕热·克力木江　祖丽胡马尔·努尔艾合买提　迪丽菲热·吐尔洪　贾俊　王欣　谢钦钦　古力巴哈·买买提力

[摘要]目的：建立新疆地區男女Arnett分析法的测量正常值，并与广东地区正常牙合人群Arnett分析结果比较，为临床上错牙合畸形个性化的诊疗提供参考。方法：从2010年1月-2019年1月新疆医科大学第五附属医院就诊的2 000例患者中，收集74例正常牙合，从中随机选取40例（男20例，女20例），此方法包括40个软组织指标和5个硬组织指标，由笔者用Winceph9.0软件对头影测量片在不同时间进行定点测量3次取平均值，分别做新疆男女、新疆男性与广东男性、新疆女性与广东女性两独立样本的t检验。结果：新疆男女比较，新疆男性面轮廓大、面高度度指标大、面中部凹陷;与新疆男女比较，广东男女覆牙合、覆盖大、上唇突度大、唇间隙大，更倾向于凸面型。结论：应根据不同地区、不同性别的Arnett分析法的测量正常值制定诊疗计划，获得更好的正畸、正颌治疗效果。

[关键词]正畸;正常牙合;Arnett分析法;X线头影测量;软组织;乌鲁木齐

[中图分类号]R783.5    [文献标志码]A    [文章编号]1008-6455（2020）08-0112-07

Arnett Cephalometry Analysis and Comparison of Normal Occlusion in Xinjiang and Guangdong

Yipare·KELIMUJIANG1，Zulihumaer·NUERAIHEMAITI1，Dilifeire·TUERHONG1，

JIA Jun1，Wang Xin1，XIE Qin-qin1，Gulibaha·MAIMAITILI2

（1.Xinjiang Medical University，Urumqi 830011，Xinjiang，China; 2.Department of Stomatology，the 2th Affiliated Hospital of Xinjiang Medical University，Urumqi 830011，Xinjiang，China）

Abstract： Objective  To establish the normal value of Arnett analysis for men and women in Xinjiang， and to compare the results with those of Arnett analysis for the normal occlusion population in Guangdong， so as to provide a reference for the individualized diagnosis and treatment of malocclusion. Methods  From January 2010 to January 2019， 74 cases of normal occlusion were collected from 2000 patients in the Fifth Affiliated Hospital of Xinjiang Medical University， and 40 cases （20 males and 20 females） were randomly selected.This method includes 40 soft tissue indexes and 5 hard tissue indexes，the author uses winceph 9.0 software to measure the cephalometric film three times at different time and take the average value， respectively，to do two independent samples t-test of Xinjiang men and women， Xinjiang men and Guangdong men， Xinjiang women and Guangdong women. Results  Compared with men and women in Xinjiang， men in Xinjiang have larger facial contour， higher index of facial height and depressed mid facial; compared with men and women in Xinjiang， men and women in Guangdong have larger overbite， larger overjet， larger protrusion of upper lip and larger lip gap， and tend to be convex profile. Conclusion  The diagnosis and treatment plan should be made according to the normal values of Arnett analysis in different regions and genders， so as to obtain better orthodontics treatment，orthognathic surgery effect.

Key words：orthodontics;normal occlusion;arnett analysis; cephalometry ;soft tissue;urumqi

目前，正畸或正颌外科的治疗大多数依赖于硬组织的头影测量分析，或者硬组织测量值结合个别软组织测量值，往往忽略了软组织指标能定量地表现出面部不协调性，更能从根源发现导致面部不美观的潜在因素。因此，1999年Arnett提出了[1]软组织头影测量方法（Soft tissue cephalometric ananlysis，STCA）， 此方法设计了40个软组织指标和5个硬组织指标，反映了牙合和骨骼间的关系，其中软硬组织指标在头影测量片上易被找到、标记和测量，最重要的是Arnett[2-3]强调错牙合畸形治疗中面中部的结构极其重要，是不可忽视的部分。……