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CBCT影像下颌管分支解剖形态及发生率的研究OA

Anatomical morphology and prevalence of mandibular canal branches on CBCT images

中文摘要英文摘要

目的:基于锥形束 CT(CBCT)影像数据,分析下颌管分支的解剖分型及发生率.方法:选择 2025 年 1月~2025 年 12 月武汉大学口腔医院宜昌门诊的 720 例的患者双侧下颌骨 CBCT 影像资料,分析下颌管分支的发生率、分型、与颊舌侧骨板、第三磨牙的关系等.结果:720 例样本中,下颌管分支发生率为 18.33%,磨牙后管发生率为10.56%,前行管发生率为3.61%,牙管发生率为1.11%,颊舌向管发生率为3.06%,磨牙后管至下颌第三磨牙釉牙骨质界的最小距离为(5.41±2.19)mm,磨牙后管距第三磨牙牙体组织最小距离为(5.11±2.04)mm.结论:下颌管分支发生率较高,临床手术应特别留意并避免下颌管分支损伤引起并发症.

Objective:Based on cone-beam computed tomography(CBCT)imaging data,this study systematically an-alyzed the anatomical classification and incidence of mandibular canal branches.Methods:A total of 720 CBCT image data-sets of bilateral mandibles from patients who attended the Yichang Outpatient Department,Hospital of Stomatology,Wuhan University,between January 2025 and December 2025 were collected.The incidence and classification of mandibular canal branches,as well as their positional relationships with the buccolingual cortical plates and the third molars,were analyzed.Results:Among the 720 subjects,the overall incidence of mandibular canal branches was 18.33%.The incidences of retro-molar canals,forward branches,dental canals,and buccolingual branches were 10.56%,3.61%,1.11%and 3.06%,respec-tively.The minimum distance from the retromolar canal to the cementoenamel junction of the mandibular third molar was(5.41±2.19)mm,and the minimum distance from the retromolar canal to the third molar was(5.11±2.04)mm.Conclu-sion:Mandibular canal branches are relatively common anatomical variants.Clinicians should fully recognize these anatomical variations during surgery to avoid iatrogenic injury and related complications.

牛文俊;王马丽

口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医(学)院 湖北 武汉 430079口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医(学)院 湖北 武汉 430079

医药卫生

下颌管分支磨牙后管第三磨牙

Mandibular canal branchRetromolar canalThird molar

《临床口腔医学杂志》 2026 (9)

550-554,5

10.3969/j.issn.1003-1634.2026.09.009

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