颞颌关节紊乱综合征临床症状与MRI征象相关性分析  

作　　者：王建萍 黄杰 李洁[1] 何平 戚乐[1] 

机构地区：[1]杭州师范大学附属医院,310015 [2]杭州口腔医院,310003

出　　处：《浙江临床医学》2022年第1期58-59,62,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省医药卫生科技计划项目(2020KY710);杭州市卫生科技计划项目(0020190233);杭州市科技计划发展项目(20191203B101)。

摘　　要：目的探讨颞颌关节紊乱症(TMD)患者主要临床症状与MRI征象的相关性.方法回顾性分析2019年1月至2020年5月临床主诉为单侧颞颌关节不适的107例初诊患者的双侧颞颌关节MRI图像.根据临床症状分为单纯弹响组、单纯疼痛组及弹响疼痛组,将有症状的关节盘作为观察组,对侧关节盘作为对照组,观察三组关节盘位置和关节腔积液的情况.结果弹响疼痛组和单纯弹响组双侧关节盘移位差异有统计学意义(P<0.05),而单纯疼痛组的双侧关节盘移位差异无统计学意义(P>0.05);三组不同临床症状的关节盘位置是否可复的差异均无统计学意义(P>0.05).观察组关节盘移位、关节腔积液与对照组比较,差异有统计学意义(P<0.05).结论MRI是TMD诊断的必要辅助检查;临床症状与MRI征象之间存在一定相关性,但需要综合考虑其他因素的影响.Objective To investigate the correlation between the main clinical symptoms and MRI signs in patients with temporonlandibular disorders(TMD)and to provide imaging basis for the clinical diagnosis and treatment of TMD.Methods The MRI images of bilateral TMJ of 107 newly diagnosed patients with clinical chief complaint of unilateral TMJ discomfort in affiliated Hospital of Hangzhou Normal University from January 2019 to May 2020 were retrospectively analyzed.According to the clinical symptoms,the patients were divided into three groups:simple spring sound group,simple pain group and spring-sound-pain group.The symptomatic articular disc was taken as the experimental group,and the contralateral articular disc as the control group.The position of articular disc(normal,reversible and irreversible displacement)and joint effusion(with or without)in the three groups were observed.Results The difference between the simple spring-sound group and spring-sound-pain group was statistically significant(P<0.05),while the difference between the simple pain group was not statistically significant(P>0.05),and the difference among the three groups was not statistically significant(P>0.05).However,the difference between the displacement of the articular disc and the effusion in the articular cavity was statistically significant(P<0.05).Conclusion MRI is a necessary auxiliary examination for TMD diagnosis.There is a certain correlation between clinical symptoms and MRI signs,but the influence of other factors should be considered comprehensively.

关 键 词：颞颌关节紊乱症 磁共振成像 关节盘位置 关节积液 

分 类 号：R78[医药卫生—口腔医学]