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颞下颌关节盘移位程度及其与关节疼痛的关系 被引量：4

Quantitative study on the degree of anterior disc displacement and its association with temporomandibular joint pain
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摘要 目的 :对关节盘移位程度进行定量研究并评价移位程度与关节疼痛的关系 .方法 :利用MRI对 4 4例单侧关节疼痛颞下颌关节紊乱 (TMD)患者的 88侧颞下颌关节 (TMJ)进行闭口斜矢状位T1加权成像 .关节盘移位程度的测量方法 :MR成像层面上关节结节最下点 (A)到外耳道最上点 (E)的连线为直线AE ,髁突顶点 (C)及关节盘最后点 (D)与直线AE垂直相交点分别为C′、D′ ,分别求得AD′距离、C′D′距离 ,代表关节盘在关节窝前后方向的位置 .依据可视疼痛模拟标尺 (VAS)值将疼痛侧关节分为轻、中、重度疼痛 3组 ,以测量的AD′、C′D′距离 ,同非疼痛侧关节AD′、C′D′距离做自身对照进行统计分析 .结果 :轻、中、重度疼痛组及无疼痛组AD′和C′D′分别为(8.7± 2 .8)mm和 (1 .2± 3.2 )mm ;(6 .4± 2 .5 )mm和(4 .1± 2 .9)mm ;(7.5± 2 .8)mm和 (2 .2± 3.4 )mm ;(1 0 .9± 1 .7)mm和 (- 0 .9± 1 .7)mm ,统计学分析非疼痛组AD′、C′D′与轻、中、重度疼痛组之间均有显著差别 ;除轻度与中度疼痛组有统计学差别外 ,轻度与重度组间、中度与重度组间AD′、C′D′均无统计学意义 .结论 :TMJ疼痛与盘移位有关 ,但疼痛程度与关节盘前移位程度无相关性 。 AIM: To quantitatively evaluate the degree of anterior disc displacement and its association with temporomandibular joint pain. METHODS: Oblique sagittal T1 weighted MR imaging at closed mouth was obtained from 88 joints of 44 patients who complained of unilateral TMJ pain. On MRI view, a straight line AE was drawn through the lowest point of articular eminence (A) and the highest point of external auditory meatus (E), and then the perpendicular lines were dropped from condylar head (C) and the most poterior band of the disc (D) to AE on which the cross points were marked as C′ and D′. The distance AD′ and C′D′ reflect the anterior posterior position of the disc in the glenoid fossa. The painful joints were divided into mild, moderate and severe pain groups according to the VAS score. The pain free joints served as control. RESULTS: The distance AD′ and C′D′ in mild, moderate, severe and pain free groups were respectively (8.7±2.8) mm and (1.2± 3.2) mm, (6.4±2.5) mm and (4.1±2.9) mm, (7.5±2.8) mm and (2.2±3.4) mm, and (10.9±1.7) mm and (-0.9 ±1.7) mm. Significant difference between all painful groups and pain free group was found. But no significant difference was found between painful groups, except for mild and moderate pain groups. CONCLUSION: Temporomandibular joint pain is associated with anterior disc displacement. But the degree of anterior displacement of the disc has no influence on pain levels, which indicates that the pain level could not reflect the condition of disc displacement.
作者 赵二军 焦国良 王永海 祝玉芬 杜昱平
机构地区 白求恩国际和平医院口腔科 白求恩国际和平医院中心实验室
出处 《第四军医大学学报》 北大核心 2004年第3期249-251,共3页 Journal of the Fourth Military Medical University
基金 北京军区"十五"医药卫生资助项目 (0 2B0 1 1 )
关键词 颞下颌关节 疼痛 关节盘前移位 核磁共振 temporomandibular joint pain anterior disc displacement magnetic resonance imaging
分类号 R782.62 [医药卫生—口腔医学]
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参考文献12

  • 1[1]Sano T, Westesson PL, Larheim TA, et al. The association of temporomandibular joint pain with abnormal bone marrow in the mandibular condyle[J]. J Oral Maxillofac Surg, 2000;58(1):254-257.
  • 2[2]Taskaya-Yilmaz N, Ofutcen-Toller M. Magnetic resonance imaging evaluation of temporomandibular joint disc deformities in relation to type of disc displacement[J]. J Oral Maxillofac Surg, 2001;59(2):860-865.
  • 3[3]Larheim TA, Katzberg RW, Westesson PL, et al. MR evidence of temporomandibular joint fluid and condyle marrow alterations: Occurrence in asymptomatic volunteers and symptomatic patients[J]. Int J Oral Maxillofac Surg, 2001; 30(1): 113-117.
  • 4[4]Rudisch A, Innerhofer K, Bertram S, et al. Magnetic resonance imaging findings of internal derangement and effusion in patients with unilateral temporomandibular joint pain[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2001; 92(3): 566-571.
  • 5[5]Larheim TA, Westesson PL, Sano T, et al. MR grading of temporomandibular joint fluid: Association with disk displacement categories, condyle marrow abnormalities and pain[J]. Int J Oral Maxillofac Surg, 2001;30(1):104-112.
  • 6[6]Hiromasa M, Tokio O. A study by magnetic resonance imaging of the articular disc in temporomandibular joint dysfunction: Relationship between the degree of anterior displacement of the articular disc, its reduction, and clinical findings[J]. J Jpn Stomatol Soc, 1999;45(4):241-251.
  • 7[7]Augthun M, Muller LC, Bauer W, et al. Anterior disk displacement of the temporomandibular joint. Significance of clinical signs and symptoms in the diagnosis[J]. J Orofac Orthop, 1998;59(1): 39-46.
  • 8[8]Bertram S, Rudisch A, Innerhofer K, et al. Diagnosing TMJ internal derangement and osteoarthritis with magnetic resonance imaging[J]. J Am Dent Assoc, 2001;132(6): 753-761.
  • 9[9]Emshoff R, Rudisch A, Innerhofer K, et al. Temporomandibular joint internal derangement type Ⅲ: Relationship to magnetic resonance imaging findings of internal derangement and osteoarthrosis[J]. Int J Oral Maxillofac Surg, 2001;30(2):390-396.
  • 10[10]Hiroshi K, Akiko O, Akira K. Change of position of the temporomandibular joint disc with insertion of a disc-repositioning appliance[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 1998;85(1):142-145.

同被引文献56

  • 1马晓辉,王昊,谭包生,张熙恩.下颌偏斜畸形术后髁突位置改变的研究[J].北京口腔医学,2004,12(3):156-157. 被引量：4
  • 2杨学文,龙星,叶翁三杰,东耀峻,王沙彬.正颌-正畸联合治疗下颌偏突颌畸形[J].中华医学美学美容杂志,2006,12(1):5-8. 被引量：8
  • 3周芳,李东,丁寅.成人下颌偏斜患者颞下颌关节形态及位置的变化[J].临床口腔医学杂志,2007,23(3):156-159. 被引量：10
  • 4Okeson JP. Current diagnostic classification schema and assessment of patients with temporomandibular disorders [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 1997, 83(1): 61-64.
  • 5Akahane Y, Deguchi T, Hunt NP. Morphology of the temporomandibular joint in skeletal class IIl symmetrical and asymmetrical cases: a study by cephalometric laminography[J]. J Orthod, 2001, 28(2):119-128.
  • 6Tazuko K, Nishida S, Nakayama E, et al. Correlation of mandibular deviation with temporomandibular joint MR dimensions, MR disk position, and clinical symptoms[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2005, 100(6): 743-749.
  • 7Kawakami M, Yamamoto K, Inoue M, et al. Morphological differences in the temporomandibular joints in asymmetrical prognathism patients[J]. Orthod Craniofac Res, 2006, 9(2): 71-76.
  • 8Liu C, Kaneko S, Soma K. Glenoid Fossa Responses to Mandibular Lateral Shift in Growing Rats [J]. Angle Orthod, 2007, 77(4): 660-667.
  • 9Ueki K, Nakagawa K, Takatsuka S, et al. Temporomandibular joint morphology and disc position in skeletal class III patients[J]. J Craniomaxillofac Surg, 2000, 28(6): 362-368.
  • 10Ahn S J, Lee SP, Nahm DS, et al. Relationship between temporomandibular joint internal derangement and facial asymmetry in women[J]. Am J Orthod Dentofacial Orthop, 2005, 128(5): 583-591.

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第四军医大学学报
2004年 第3期

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