颞下颌关节积液患者的磁共振影像学特征观察及症状与生活质量的评估

doi:10.13701/j.cnki.kqyxyj.2021.05.015

口腔医学研究 ›› 2021, Vol. 37 ›› Issue (5): 453-457.DOI: 10.13701/j.cnki.kqyxyj.2021.05.015

颞下颌关节积液患者的磁共振影像学特征观察及症状与生活质量的评估

林夕秋, 熊鑫, 吴聃, 陶然, 阿力米热·米吉提, 刘洋^*

四川大学华西口腔医院颞下颌关节科四川成都 610041

收稿日期:2020-12-28 发布日期:2021-05-17
通讯作者: * 刘洋,E-mail:liu@scu.edu.cn
作者简介:林夕秋(1999~ ),女,四川人,学士在读,主要从事颞下颌关节病研究。
基金资助:
四川大学华西口腔医院探索与研发项目(编号:RD-03-202005);四川大学创新火花项目(编号:2018SCUH0082);成都市科技局技术创新研发项目(编号:2019-YF05-00508-SN)

Observation of Magnetic Resonance Imaging Features and Evaluation of Symptoms and Quality of Life in Patients with Temporomandibular Joint Effusion

LIN Xiqiu, XIONG Xin, WU Dan, TAO Ran, Alimire·MIJITI, LIU Yang^*

Department of Temporomandibular Joint, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2020-12-28 Published:2021-05-17

摘要/Abstract

摘要： 目的:通过磁共振成像(magnetic resonance imaging,MRI)评估颞下颌关节积液与其它颞下颌关节MRI影像特征、临床症状和口腔健康质量的关系。方法:对2020年5月~2020年11月于四川大学华西口腔医院颞下颌关节科的174名患者进行量表与MRI评估。关节积液被分为:无积液、少量积液、明显积液及大量积液4级:其它MRI评估内容包括:关节盘形态、关节盘位置、髁突形态、髁突位置、髁突运动。采用Fonseca 记忆指数量表评估颞下颌关节紊乱症状;采用口腔健康影响程度量表评估患者口腔疼痛、心理不适、机能受限与社交障碍等生活质量。采用卡方检验、Fisher检验、Pearson和Spearman相关系数分析。结果:不同髁突形态、盘移位程度的患者,关节积液严重程度差异有统计学意义。关节积液与下颌侧方运动困难、颈部疼痛和头痛均呈正相关。关节积液与患者口腔健康生活质量无相关性。结论:虽然关节积液与特定的牵涉痛有关,但临床将颞下颌关节积液作为药物及手术干预的指征和评估预后的指标仍需慎重。

关键词: 磁共振成像, 颞下颌关节积液, 口腔健康生活质量

Abstract: Objective: To evaluate the relationship between the joint effusion and other magnetic resonance imaging (MRI) findings of temporomandibular joint, and evaluate the relationship between joint effusion and clinical symptoms and oral health quality. Methods: A total of 174 patients who were admitted to the Temporomandibular Joint Department of West China Hospital of Stomatology Sichuan University from May to November 2020 were evaluated with scales and MRIs. Joint effusion was divided into four grades: no, a small amount of, obvious, and a large amount of effusion. Other MRI evaluations include: disc shape, disc position, condylar shape, condylar position, and condylar motion. The short-form oral health impact profile-14 was used to assess patients with oral pain, psychological discomfort, functional limitation and social dysfunction. The Fonseca anamnestic index was used to assess symptoms. Chi-square test, Fisher test, Pearson correlation analysis and Spearman correlation analysis were used for data analysis. Results: Difference between joint effusion and condylar morphology and disc displacement was statistically significant. Joint effusion was positively correlated with difficulty moving the jaw to the sides, neck pain, and headache. The joint effusion was not correlated with the oral health quality of patients. Conclusion: Although joint effusion was associated with specific referred pain, clinical use of joint effusion as an indication for drug and surgical intervention and as an indicator for prognostic assessment should be treated cautiously

Key words: magnetic resonance imaging, temporomandibular joint effusion, oral health-related quality of life

林夕秋, 熊鑫, 吴聃, 陶然, 阿力米热·米吉提, 刘洋. 颞下颌关节积液患者的磁共振影像学特征观察及症状与生活质量的评估[J]. 口腔医学研究, 2021, 37(5): 453-457.

LIN Xiqiu, XIONG Xin, WU Dan, TAO Ran, Alimire·MIJITI, LIU Yang. Observation of Magnetic Resonance Imaging Features and Evaluation of Symptoms and Quality of Life in Patients with Temporomandibular Joint Effusion[J]. Journal of Oral Science Research, 2021, 37(5): 453-457.

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颞下颌关节积液患者的磁共振影像学特征观察及症状与生活质量的评估

Observation of Magnetic Resonance Imaging Features and Evaluation of Symptoms and Quality of Life in Patients with Temporomandibular Joint Effusion

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