单侧颞下颌关节滑膜炎关节间隙变化的影像学研究

doi:10.13701/j.cnki.kqyxyj.2018.03.008

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (3): 245-248.DOI: 10.13701/j.cnki.kqyxyj.2018.03.008

单侧颞下颌关节滑膜炎关节间隙变化的影像学研究

吕曜光, 邵博, 贾梦莹, 辜文妍, 龚忠诚^*

新疆医科大学第一附属医院颌面肿瘤外科新疆乌鲁木齐 830054

收稿日期:2018-01-24 出版日期:2018-03-30 发布日期:2018-03-27
通讯作者: 龚忠诚,E-mail:565249755@qq.com
作者简介:吕曜光(1994~),男,陕西人,硕士在读,主要从事颞下颌关节的临床与基础研究。
基金资助:
国家自然科学基金(编号:81760191)

Imaging Study of Joint Space Changes in Unilateral Temporomandibular Joint Synovitis.

LV Yao-guang, SHAO Bo, JIA Meng-ying, GU Wen-yan, GONG Zhong-cheng^*

Oncology Department of Oral & Maxillofacial Surgery, the First Affiliated Hospital of Xinjiang Medical University.Urumqi 830054, China

Received:2018-01-24 Online:2018-03-30 Published:2018-03-27

摘要/Abstract

摘要： 目的: 探讨单侧颞下颌关节滑膜炎患者双侧关节间隙的闭口位关节曲面断层片特征。方法: 收集新疆医科大学第一附属医院颞下颌关节专病门诊诊断为单侧颞下颌关节滑膜炎患者27例,使用数字化曲面断层X片机记录患者在牙尖交错位时双侧颞下颌关节矢状位曲面断层片,使用软件CliniView9.2重建,并测量颞下颌关节髁突的前、上、后间隙距离,健侧与患侧相互比较。结果: 患侧的前、上、后髁突间隙较患侧分别增宽约32.46%、64.62%、55.05%。不对称指数结果显示,上间隙对造成髁突间隙不对称影响较大,单侧颞下颌关节滑膜炎患者的患侧髁突前、上、后间隙均明显大于健侧(P<0.05)。结论: 单侧颞下颌关节滑膜炎患者的患侧髁突间隙均比健侧增宽,且上间隙对双侧关节间隙的对称程度影响较大。

关键词: 滑膜炎, 颞下颌关节, 髁突间隙, 关节闭口位曲面断层片

Abstract: Objective: To investigate the features of closing position panoramic radiograph of bilateral joint space in patients with unilateral temporomandibular joint synovitis. Methods: Twenty-seven cases diagnosed with unilateral temporomandibular joint synovitis by temporomandibular joint disease clinic in the First Affiliated Hospital of Xinjiang Medical University were collected. The bilateral temporomandibular joint sagittal panoramic radiograph at the intercuspal position was recorded by digital surface tomography X-ray machine, and reconstructed by CliniView 9.2 software, and the indexes of TMJ condylar related space were measured and compared between the affected side and the unaffected side. Results: The anterior condylar space, the superior space, and the posterior space in patients with unilateral temporomandibular joint synovitis in the affected side were significantly greater than those in the unaffected side (P<0.05), and the ipsilateral anterior superior and posterior space of the affected side were increased by about 32.46%, 64.62%, and 55.05% in contrast to those of the unaffected side. The asymmetric index results showed that the superior space had great influence on the asymmetry of the condylar space. Conclusion: The condylar space of patients with unilateral temporomandibular joint synovitis in the affected side is wider than that of the unaffected side, and the upper space has a greater influence on the symmetry of bilateral joint space.

Key words: Synovitis, Temporomandibular joint, Condylar space, Closing position panoramic radiograph

吕曜光, 邵博, 贾梦莹, 辜文妍, 龚忠诚. 单侧颞下颌关节滑膜炎关节间隙变化的影像学研究[J]. 口腔医学研究, 2018, 34(3): 245-248.

LV Yao-guang, SHAO Bo, JIA Meng-ying, GU Wen-yan, GONG Zhong-cheng. Imaging Study of Joint Space Changes in Unilateral Temporomandibular Joint Synovitis.[J]. Journal of Oral Science Research, 2018, 34(3): 245-248.

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单侧颞下颌关节滑膜炎关节间隙变化的影像学研究

Imaging Study of Joint Space Changes in Unilateral Temporomandibular Joint Synovitis.

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