外伤后无髁状突骨折的颞下颌关节紊乱调查分析  

作　　者：闫俊杰[1] 刘伟东[1] 李旭丹[1] 江银华[1] 

机构地区：[1]浙江省丽水市人民医院,323000

出　　处：《浙江临床医学》2018年第3期501-502,共2页Zhejiang Clinical Medical Journal

基　　金：2013年浙江省丽水市公益性技术应用研究项目（2013ZC014）

摘　　要：目的对外伤后无髁状突骨折的颞下颌关节紊乱调查分析，从而对颞下颌关节紊乱疾病的发展趋势起到提示作用。方法随机选取外伤后无髁状突骨折患者208例，采用问诊与临床检查相结合的方法，对调查人员的基本资料、体征、临床症状、错颌畸形分类以及生活习惯进行统计分析。结果208例调查对象中，确诊为TMD患者94例（452％），其中男18例（45．0％），女76例（45．4％），TMD患者性别差异无统计学意义（P〉0．05）；94例患者中体征和临床症状不尽相同，其中出现弹响和杂音的患者最多，占63.83％，其次是开口度异常，占31．91％。94例TMD患者中颌正常40例，占42.55％，114例非TMD组中颌正常104例，占91.23％，差异有统计学意义（P〈0．05）。在Ⅱ类错颌组中，TMD组发生概率显著高于非TMD组（P〈0．05）。在深覆颌和深覆盖颌组中，TMD组发生概率显著高于非TMD组（P〈0．05）。不良习惯包含夜磨牙、紧咬牙及偏侧咀嚼习惯。TMD组中无不良习惯33例，占35.11％，与非TMD组比较，差异有统计学意义（P〈0.05）；在偏侧咀嚼方面，TMD组与非TMD组差异有统计学意义（P〈0.05）。结论TMD的发生具有普遍性和隐蔽性。口腔医务工作者需要在宣讲方面应有足够的重视，普通大众对TMD的症状需要足够重视，对TMD的普遍性和危害要有足够的认识，养成良好的习惯，提高自我保健意识。Objective To investigate the analysis of temporomandibular joint disorder in temporomandibular joint without condyle fracture after external injury, thus suggesting the development trend of temporomandibular joint turbulence in China. Methods 208 patients with no condylar fractures were randomly selected. Interrogation combined with clinical examination methods were used to analyze the basic data of investigators, clinical symptoms, signs, wrong micromaxillary deformity for statistical classification and life habits. Results The 208 subjects, of 94 patients with diagnosed with TMD, the prevalence was 45.2%, among them 18 cases of male patients, the prevalence was 45.0%, 76 cases of female patients, the prevalence was 45.4%, TMD patients there was no significant gender difference （P〉0.05） ; Among the 94 patients, the signs and clinical symptoms were different, with 63.83% of the patients with the most sound and murmur, and the second was the abnormality of the opening degree, accounted for 31.91%. Among the 94 patients with TMD, 40 were normal, accounted for 42.55 percent, and 104 of the 114 non-tmd group were normal, accounted for 91.23 percent and had significant difference （P〈0.05） . In wrong jaw set ]I classes, TMD group had a significantly higher probability of TMD group （ P〈0.05 ） . The incidence of TMD group was significantly higher than that of non-TMD group （ P〈0.05 ） . Bad habits including nocturnal grinding, clenching and partial chewing. In the TMD group, there were 33 patients with no bad habits, accounted for 35.11%, and compared with the percentage of non-TMD group with no bad habit （P〈0.05） . There was significant difference between TMD group and non-TMD group （P〈0.05） . Conclusion The occurrence of TMD is universal and concealment. Oral health workers need enough attention in terms of preach, the general public about the symptoms of TMD need enough attention, the universality and harm of TMD should have enough knowledge, form a good habit, improve self health ca

关 键 词：颞下颌关节紊乱 弹响 杂音 咀嚼 

分 类 号：R782.630.5[医药卫生—口腔医学]