关节源性颞下颌关节痛患者关节内窥镜检查结果  

Arthroscopic Investigation of the Status of Temporomandibular Joint in Patients with Temporomandibular Joint Pain

作　　者：马东[1] 马文玲[2] 张引成[1] 赵文清[1] 

机构地区：[1]西安交通大学口腔医院口腔外科,陕西西安710004 [2]西安长安大学,陕西西安710054

出　　处：《华西口腔医学杂志》2005年第4期313-315,共3页West China Journal of Stomatology

摘　　要：目的探讨颞下颌关节紊乱病伴关节源性关节痛患者的关节腔内状况。方法对20例颞下颌关节紊乱病伴关节源性关节痛患者(按Truelove等关于颞下颌关节紊乱病的诊断分类标准确定)的23侧颞下颌关节先后进行X线片检查和关节内窥镜检查。结果关节镜下23侧关节内至少存在1种不同程度的腔内病变,最多有6种病变共存。结论局限于颞下颌关节的关节痛可能与关节腔内病理改变有关,可能是炎症(滑膜炎)引起疼痛。Objective To investigate the status of the temporomandibular joint（TMJ） in patients with complaints of joint pain for improving clinical therapy. Methods Twenty three joints in twenty patients who complained of TMJ pain were examined radiographically and arthroscopically. Results There were at least one and more to six pathological changes could be found arthroscopically in the 23 temporomandibular joints, which were different in some respects with radiographic findings. Conclusion TMJ related pain may be associated with pathological alterations in the TMJ, and synovitis may be one of the causes of TMJ pain.

关 键 词：颞下颌关节 关节痛 关节镜 

分 类 号：R782.6[医药卫生—口腔医学]