中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2026, Vol. 24 ›› Issue (2): 161-165.doi: 10.19438/j.cjoms.2026.02.011

• 医学教育 • 上一篇    下一篇

数字化及传统头影测量技术结合在正畸正颌实践教学中的应用效果评价

别苗苗, 刘晶#, 代庆刚#   

  1. 上海交通大学医学院附属第九人民医院 口腔第二门诊部,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011
  • 收稿日期:2025-10-31 修回日期:2025-12-18 出版日期:2026-03-20 发布日期:2026-04-02
  • 通讯作者: 代庆刚,E-mail: daiqinggang@126.com;刘晶,E-mail: lj3232475@163.com。#共同通信作者
  • 作者简介:别苗苗（1990—）,女,博士,E-mail: bm1050331682@163.com
  • 基金资助:
    上海市自然科学基金（25ZR1401217）;上海交通大学医学院附属第九人民医院院级教学项目（JYJX03202204,JYJX03202318）

Research on the combination of digital and traditional cephalometric measurement technology in practical teaching of orthodontic-orthognathic combined treatment

Bie Miaomiao, Liu Jing, Dai Qinggang   

  1. The 2nd Dental Center, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology. Shanghai 200011, China
  • Received:2025-10-31 Revised:2025-12-18 Online:2026-03-20 Published:2026-04-02

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摘要： 目的: 对比数字化软件描记、传统手工描记及两种方法结合的头影测量教学模式在正畸正颌联合治疗实践教学中的应用效果。方法: 选取2022年9月—2023年9月于上海交通大学医学院附属第九人民医院口腔第二门诊部实习的口腔本科生18名,随机分为3 组,每组6人,分别采用Dolphin数字化头影测量软件（数字化组）、传统手工描记法（传统组）、两种方法结合法（结合组）开展Steiner等头影测量分析法教学。进行4周的集中教学培训,分别在培训2周及培训结束时进行考核,通过对比测量结果与标准值的差值,评估不同教学方法的效果。结果: 所有学生均完成课程学习,实验报告合格率为100%。培训2周后,结合组在SNA、SNB、ANB、U1-SN、U1-L1、MP-SN等测量项目的差值均显著低于传统组和数字化组（P<0.05）。培训4周后,3组所有测量项目的差值均无统计学差异。结论: 数字化软件与传统方法相结合可在正畸正颌头影测量教学中取得良好的教学效果,为口腔正畸正颌联合治疗的数字化教学提供更多的经验,同时为传统方法的传承提供了借鉴,值得进一步完善及推广。

关键词: 正畸正颌联合治疗, 数字化头影测量, 传统头影测量, 实践教学, 颅颌面畸形

Abstract: PURPOSE: To compare the application value of three cephalometric teaching modes(digital software tracing, traditional manual tracing, and the combination of these two methods) in the practical teaching of orthodontic-orthognathic combined treatment. METHODS: A total of 18 undergraduate students majoring in stomatology who practiced at the 2nd Dental Center, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine from September 2022 to September 2023 were selected and randomly divided into 3 groups with 6 students in each group. Students in the three groups were taught Steiner cephalometric analysis using the Dolphin digital cephalometric software (the digital group), the traditional manual tracing method(the traditional group), and the combined method of the two approaches(the combined group), respectively. A 4-week intensive teaching and training program was carried out. Assessments were conducted at the end of the 2nd week and upon the completion of the training. The effects of different teaching methods were evaluated by comparing the differences between the measured values obtained by the students and the standard values. RESULTS: All students completed the course, with a 100% qualification rate of the experimental reports. After 2 weeks of training, the combined group showed significantly lower differences in core measurement items including SNA, SNB, ANB, U1-SN, U1-L1 and MP-SN compared with the traditional group and digital group(P<0.05). After 4 weeks of training, there were no significant differences in the deviations of all measurement items among the three groups. CONCLUSIONS: The combination of digital software and traditional methods can achieve favorable teaching effects in cephalometric teaching for combined orthodontic and orthognathic treatment. It provides more experience for the digital teaching of combined orthodontic and orthognathic treatment, and also offers a reference for the inheritance of traditional methods, which is worthy of further improvement and popularization.

Key words: Combined orthodontic and orthognathic treatment, Digital cephalometry, Traditional cephalometry, Practical teaching, Craniomaxillofacial deformities

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