摘要
通过287例TMD患者的临床及X线分析探讨临床症状与TMJ骨质改变间的关系。所有患者进行常规临床检查并拍摄许勒位及经咽侧位,其中59例(66侧)行关节上腔造影检查。X线片骨组织改变分为三类:正常关节、改建关节、骨关节病关节。本研究结果表明:TMD患者临床症状单侧者占多数。单侧症状患者关节骨结构改变症状与非症状侧比较有显著性差异,症状侧骨关节病改变明显高于非症状侧。本组59例(66侧)关节上腔造影病例中,可复性关节盘前移病例关节骨质多为正常,而关节盘穿孔时,多发生骨质退行性变。
The purpose of this study was to evaluate the relationship of the clinical and radiological findings of patients with TMD. 287 patients were included. Transcranial and transpharyneal projection were used. Radiographic findings were classified as normal joint, remodelled joint and osteoarthrotic joint. The results showed that most patients with TMD had unilateral clinical signs. Osteoarthrosis findings were found more in the symptom sides than in the asymptom sides. Arthrogram showed that osseous tissue were usually normal in the group of the patients with reducible anterior disc displacement, and osteoarthrosis signs were often found in the patients with disc perforation.
出处
《现代口腔医学杂志》
CAS
CSCD
1998年第1期32-34,共3页
Journal of Modern Stomatology
