摘要
本文对25例55～75岁颞颌关节紊乱综合征(TMJDS)患者的症状体征进行了分析其特点为疼痛较轻,局限在TMJ周围,病程较长,未引起患者注意的弹响,张口偏斜较张口受限明显,症状以一侧为主。并根据临床症状,结合薛氏位片和CT片检查结果,作了诊断分类分型。所有患者经(牙合)夹板治疗均取得良好疗效,有效率为81.7％。研究提出与老年人TMJDS发病有关因素为严重不均匀的牙齿磨耗所致(牙合)干扰、垂直距离减低、髁状突后移位以及老年人关节退行性变。提示在临床工作中应对就诊的老年人进行TMJDS的问诊和检查以便及时防治。
Twenty five patients aged 55—75 with temporomandibular joint disorder syndrome were studied. The symptoms and sings of the old-age patients had their characteristics, such as light pain limited to the area of TMJ, a relatively long history, deviated rather than limited mandibular opening. The diagnosis were made according to clinical examinations, findings of schuller's position radiographs and CT and they were classified. The outcome of treatment with a full maxillary stabilization splint was good, with the effective rate at 81.7%. We considered the causes of this syndrom in old-age patients to be occlusal interferences, loss in vertical dimension, retrusion of condyle and degeneration of TMJ resulting from serious teeth abrasion.
出处
《军医进修学院学报》
1992年第3期207-210,共4页
Academic Journal of Pla Postgraduate Medical School
