2012头影测量学

头影测量学上海交通大学医学院附属第九人民医院正颌正畸联合治疗中心吴勇定义X线头影测量是对标准化定位的X线片所得的软硬组织影像进行定量的测量分析，从而了解牙合颅面软硬组织的结构，使对牙合颅面的检查诊断由表面形态深入到内部的骨骼结构中去。常用标志点及测量平面一.颅部标志点鼻根点（N）：鼻额缝的最前点蝶鞍点（S）：蝶鞍影像的中心点耳点（Po）：机械耳点---定位仪耳塞影像的最上点解剖耳点---骨性外耳道影像的最上点颅底点（Ba）：枕骨大孔前缘中点二.上颌标志点眶点（Or）：眶下缘最下点翼上颌裂点（Ptm）：翼上颌裂影像的最下点前鼻棘点（ANS）：前鼻棘的尖端后鼻棘点（PNS）：硬腭后部骨棘之尖上齿槽坐点（A）：前鼻棘与上齿槽缘间的最凹点上中切牙点（U1）：上中切牙切缘之最前点三.下颌标志点髁顶点（Co）：髁突影像最上点下颌角点（Go）：下颌角后下点颏下点（Me）：颏部之最下点颏前点（Pog）：颏部之最前点颏顶点（Gn）：颏下点与颏前点之中点下齿槽座点（B）：颏前点与下齿槽缘之间的凹点下中切牙点（L1）：下中切牙切缘之最前点下颌标志点四.基准平面：相对稳定•前颅底平面（SN）:由蝶鞍点与鼻根点的连线组成•眶耳平面（FH）:由耳点与眶点的连线组成线段距离垂足距离角度SNFHPtmAPtm’A’FHMPMP’测量平面：•腭平面（PP）:由前鼻棘点与后鼻棘点的连线组成•面平面（N-Pog）：由鼻根点与颏前点的连线组成•Y轴（S-Gn）：蝶鞍点与颏顶点的连线组成合平面（OP）:解剖合平面功能合平面下颌平面（MP）：•颏下点与下颌角下缘的切线•下颌角点与颏顶点的连线（Go-Gn）•通过下颌骨下缘最低点的切线上海九院头影测量分析法常用测量项目1.上颌骨相对于颅底2.下颌骨相对于颅底3.上下颌骨相对位置4.面部生长方向5.面高比6.颏分析7.牙及牙槽8.软组织面型9.唇型CASSOSREPORTShanghaiAnalysisMaxillatoCranium1.SNA2.NA-FH3.Ptm-S(//HP)4.Ptm-A(//HP)MandibletoCranium5.SNB6.FacialAngle7.AngleofConvexity8.Co-S(//HP)9.MP-FH10.MP-SN11.AntCranialBase12.Go-Co13.GoMe:SNMandibletoMaxilla14.ANBFacialGrowth15.YAxis-FHAngleFaicalHeight16.%Nose17.NA:AMe(_HP)18.ALFH:PLFHProfile19.PogtoNBDentoalveolar20.UD-SN21.U1-SN22.U1-NA23.U1-NA(mm)24.U1-PP(mm)25.U6-PP(mm)26.U6-Ptm(//HP)27.L1-MP28.L1-MP(mm)29.L1-NB30.L1-NB(mm)31.L6-MP(mm)32.U1-L133.IncisorOverjet34.IncisorOverbite35.OP-FH36.UpperOP-FHFacialForm37.FacialConvexity38.0-MeridiantoSn39.0-MeridiantoPog'LipForm40.Naso-labialAngle41.ULipLength42.U1Exposure43.InterlabialGap44.ULip:Chin(_HP)45.LabiomentalFoldUnitdegdegmmmmdegdegdegmmdegdegmmmm%degdeg%%%mmdegdegdegmmmmmmmmdegmmdegmmmmdegmmmmdegdegdegmmmmdegmmmmmm%mmActual77.888.015.646.183.293.2-10.914.235.645.865.069.1105.2-5.460.448.899.6182.8-0.4110.0112.835.19.228.224.225.477.841.026.85.433.5123.5-4.7-3.715.413.11.18.812.589.719.33.71.736.32.6Mean82.891.017.145.080.185.46.017.427.330.471.056.0100.02.764.045.0100.0152.04.0106.0105.722.85.128.022.014.693.240.030.36.733.0124.02.03.011.59.37.38.00.090.020.02.01.550.04.0SD4.17.52.32.13.93.74.42.66.15.63.02.52.02.33.04.02.06.06.35.22.42.13.03.013.34.35.82.13.98.21.02.04.64.42.02.010.02.01.01.52.0Mean/SDsource:Chinese\PermanentDentition\FemaleLATERALCEPHALOMETRICANALYSISREPORTPre-Treatment:07-11-200601PatientNameSexRaceReportTime/DateDataSource:zhouyangyunqi:Female::12:5012-14-2006:TracingAge/DOBHospitalNo.ReportName:19yrs/01-01-1987:001:ShanghaiAnalysis(Tracing)ShanghaiAnalysisHorizontalPlane:FrankfortPlaneFH②①④③上颌骨相对于颅底CASSOSREPORTShanghaiAnalysisMaxillatoCranium1.SNA2.NA-FH3.Ptm-S(//HP)4.Ptm-A(//HP)MandibletoCranium5.SNB6.FacialAngle7.AngleofConvexity8.Co-S(//HP)9.MP-FH10.MP-SN11.AntCranialBase12.Go-Co13.GoMe:SNMandibletoMaxilla14.ANBFacialGrowth15.YAxis-FHAngleFaicalHeight16.%Nose17.NA:AMe(_HP)18.ALFH:PLFHProfile19.PogtoNBDentoalveolar20.UD-SN21.U1-SN22.U1-NA23.U1-NA(mm)24.U1-PP(mm)25.U6-PP(mm)26.U6-Ptm(//HP)27.L1-MP28.L1-MP(mm)29.L1-NB30.L1-NB(mm)31.L6-MP(mm)32.U1-L133.IncisorOverjet34.IncisorOverbite35.OP-FH36.UpperOP-FHFacialForm37.FacialConvexity38.0-MeridiantoSn39.0-MeridiantoPog'LipForm40.Naso-labialAngle41.ULipLength42.U1Exposure43.InterlabialGap44.ULip:Chin(_HP)45.LabiomentalFoldUnitdegdegmmmmdegdegdegmmdegdegmmmm%degdeg%%%mmdegdegdegmmmmmmmmdegmmdegmmmmdegmmmmdegdegdegmmmmdegmmmmmm%mmActual77.888.015.646.183.293.2-10.914.235.645.865.069.1105.2-5.460.448.899.6182.8-0.4110.0112.835.19.228.224.225.477.841.026.85.433.5123.5-4.7-3.715.413.11.18.812.589.719.33.71.736.32.6Mean82.891.017.145.080.185.46.017.427.330.471.056.0100.02.764.045.0100.0152.04.0106.0105.722.85.128.022.014.693.240.030.36.733.0124.02.03.011.59.37.38.00.090.020.02.01.550.04.0SD4.17.52.32.13.93.74.42.66.15.63.02.52.02.33.04.02.06.06.35.22.42.13.03.013.34.35.82.13.98.21.02.04.64.42.02.010.02.01.01.52.0Mean/SDsource:Chinese\PermanentDentition\FemaleLATERALCEPHALOMETRICANALYSISREPORTPre-Treatment:07-11-200601PatientNameSexRaceReportTime/DateDataSource:zhouyangyunqi:Female::12:5012-14-2006:TracingAge/DOBHospitalNo.ReportName:19yrs/01-01-1987:001:ShanghaiAnalysis(Tracing)ShanghaiAnalysisHorizontalPlane:FrankfortPlaneFH⑤⑥⑦√√√下颌骨相对于颅底CASSOSREPORTShanghaiAnalysisMaxillatoCranium1.SNA2.NA-FH3.Ptm-S(//HP)4.Ptm-A(//HP)MandibletoCranium5.SNB6.FacialAngle7.AngleofConvexity8.Co-S(//HP)9.MP-FH10.MP-SN11.AntCranialBase12.Go-Co13.GoMe:SNMandibletoMaxilla14.ANBFacialGrowth15.YAxis-FHAngleFaicalHeight16.%Nose17.NA:AMe(_HP)18.ALFH:PLFHProfile19.PogtoNBDentoalveolar20.UD-SN21.U1-SN22.U1-NA23.U1-NA(mm)24.U1-PP(mm)25.U6-PP(mm)26.U6-Ptm(//HP)27.L1-MP28.L1-MP(mm)29.L1-NB30.L1-NB(mm)31.L6-MP(mm)32.U1-L133.IncisorOverjet34.IncisorOverbite35.OP-FH36.UpperOP-FHFacialForm37.FacialConvexity38.0-MeridiantoSn39.0-MeridiantoPog'LipForm40.Naso-labialAngle41.ULipLength42.U1Exposure43.InterlabialGap44.ULip:Chin(_HP)45.LabiomentalFoldUnitdegdegmmmmdegdegdegmmdegdegmmmm%degdeg%%%mmdegdegdegmmmmmmmmdegmmdegmmmmdegmmmmdegdegdegmmmmdegmmmmmm%mmActual77.888.015.646.183.293.2-10.914.235.645.865.069.1105.2-5.460.448.899.6182.8-0.4110.0112.835.19.228.224.225.477.841.026.85.433.5123.5-4.7-3.715.413.11.18.812.589.719.33.71.736.32.6Mean82.891.017