摘要
本文分析了160例确诊为颞下颌关节紊乱综合征(TMJDS)器质性改变类病例的临床资料、X线平片和关节造影片,提出TMJDS器质性改变类可能存在一特殊类型,暂称之为侵蚀性颞下颌关节骨关节炎.其X线平片表现为,关节骨质局限性溶解、缺损、甚至较大范围的骨质侵蚀破坏,而无硬化增生改变.临床特征为;①青年女性多,30岁以下;②病史短,多在1年内;③多因咀嚼痛或/和张口痛求诊,临床检查关节区有明确的压痛;④一部分病人因疼痛而致开口受限;⑤严重骨质破坏者,多已发生了关节盘穿孔;⑥临床保守治疗效果差.
Clinical findings and radiographs from 160 cases diagnosed as Temporomandibular Joint Dysfunction Syndrome (TMJDS) with degenerative changes have been reviewed. The results suggest that there is one subgroup which we called erosive osteoarthritis of temporomandibular joint (Erosive OA of TMJ). The radiographic findings are erosions of the antero - superior surface of the TMJ condyle, rarely are bony proliferations and/or sclerosis. The typical clinical features are as follows.- (1) Patients are almost female, under the age of 30; (2)Clinical history is shorter than one years (3)All patients complain pain exacerbated by function, tenderness on palpation of TMJ; (4)Limited range of motion secondary to pain; (5)The disc perforated in the cases with severe bony erosion; (6)The outcome by conservative treatment is poor.
出处
《现代口腔医学杂志》
CAS
CSCD
1997年第3期174-176,共3页
Journal of Modern Stomatology
基金
国家青年自然科学基金
关键词
颞颌关节紊乱
综合征
X线
temporomandibular joint osteoarthitis radiography
