髁突形态过小与颞下颌关节不可复性盘前移位

doi:10.13701/j.cnki.kqyxyj.2018.03.023

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (3): 307-310.DOI: 10.13701/j.cnki.kqyxyj.2018.03.023

髁突形态过小与颞下颌关节不可复性盘前移位

刘乙澍, 刘木清, 雷杰, 傅开元^*

北京大学口腔医学院·口腔医院,颞下颌关节病及口颌面疼痛诊治中心医学影像科,口腔疾病国家临床研究中心,口腔数字化医疗技术和材料国家工程实验室,口腔数字医学北京市重点实验室北京 100081

收稿日期:2018-02-01 出版日期:2018-03-30 发布日期:2018-03-27
通讯作者: *傅开元,E-mail: kqkyfu@bjmu.edu.cn
作者简介:刘乙澍(1992~ ),男,山东青岛人,硕士在读,主要从事颞下颌关节病研究。

Relationship between Condylar Hypoplasia and Temporomandibular Joint Disc Displacement without Reduction.

LIU Yi-shu, LIU Mu-qing, LEI Jie, FU Kai-yuan^*

Center for TMD & Orofacial Pain and Department of Oral & Maxillofacial Radiology,Peking University School & Hospital of Stomatology; National Clinical Research Center for Oral Diseases ; National Engineering Laboratory for Digital and Material Technology of Stomatology; Beijing Key Laboratory of Digital Stomatology;22 Zhongguancun South Avenue, Haidian District, Beijing 100081, China

Received:2018-02-01 Online:2018-03-30 Published:2018-03-27

摘要/Abstract

摘要： 目的: 回顾无明确已知病因的单侧髁突发育不良样改变病例,探讨髁突形态过小与颞下颌关节不可复性盘前移位之间的相关性。方法: 收集2015年3月~2016年3月来我科就诊的无明确已知病因的单侧髁突形态过小患者的临床及影像资料,对其临床特点、CBCT及MRI影像进行分析比较。结果: 共纳入42名患者(男9例,女33例)。平均年龄22.98岁。39名患者(92.86%)曾有TMD症状,34名患者(80.95%)存在TMD体征。CBCT显示形态过小侧与对侧髁突在前后径、髁头高度及髁突高度上差异有统计学意义(P<0.001)。MRI检查显示形态过小侧颞下颌关节不可复性盘前移位的比率明显高于对侧(P<0.001),并且变形及移位更严重。结论: 不可复性盘前移位可能是获得性髁突发育不良的风险因素之一。

关键词: 髁突发育不良, 颞下颌关节紊乱病, 不可复性关节盘前移位, 骨关节病

Abstract: Objective: To explore the correlation between condylar hypoplasia and temporomandibular joint disc displacement without reduction. Methods: Clinical and imaging data of patients with unilateral condylar hypoplasia with no exact cause attending our hospital from March 2015 to March 2016 were collected. Their clinical data, CBCT, and MRI imaging results were analyzed. Results: Forty-two patients were included (9 males and 33 females), with the average age of 22.98 years old. Thiry-nine patients (92.86%) recalled TMD history, and 34 patients (80.95%) were detected signs of TMD. The hypoplastic condyle showed a statistically significant smaller in anteroposterior diameter, height of condylar head and condylar height by CBCT measurement compared with the contralateral condyles (P<0.001). MRI revealed the prevalence of disc displacement without reduction was significantly higher (P<0.001), and the degree of deformity and displacement of disc were more serious, in the hypoplastic condyle group than the contralateral side group. Conclusion: Disc displacement without reduction might be one of risk factors for acquired condylar hypoplasia.

Key words: Condylar hypoplasia, Temporomandibular disorders, Disc displacement without reduction, Osteoarthritis

刘乙澍, 刘木清, 雷杰, 傅开元. 髁突形态过小与颞下颌关节不可复性盘前移位[J]. 口腔医学研究, 2018, 34(3): 307-310.

LIU Yi-shu, LIU Mu-qing, LEI Jie, FU Kai-yuan. Relationship between Condylar Hypoplasia and Temporomandibular Joint Disc Displacement without Reduction.[J]. Journal of Oral Science Research, 2018, 34(3): 307-310.

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髁突形态过小与颞下颌关节不可复性盘前移位

Relationship between Condylar Hypoplasia and Temporomandibular Joint Disc Displacement without Reduction.

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