肌痛性颞下颌关节紊乱病的诊断与鉴别诊断  

Research progress in the treatment and differential treatment of myalgia in temporomandibular joint disorders

作　　者：刘艺 刘奕[1] LIU Yi;LIU Yi(Department of Orthodontics,School and Hospital of Stomatology,China Medical University,Liaoning Provincial Key Laboratory of Oral Diseases,Shenyang 110002,China)

机构地区：[1]中国医科大学口腔医学院·附属口腔医院正畸教研室,辽宁省口腔疾病重点实验室,辽宁沈阳110002

出　　处：《中国实用口腔科杂志》2023年第4期407-411,共5页Chinese Journal of Practical Stomatology

基　　金：辽宁省教育厅高校基本科研项目(LJKMZ20221190)。

摘　　要：肌痛是咀嚼肌功能紊乱型颞下颌关节紊乱病(temporomandibular disorders,TMD)疼痛性疾病的重要分类,包括局限性肌痛、肌筋膜痛和牵涉型肌筋膜痛。肌痛性TMD的鉴别诊断在临床治疗和病因学研究中非常重要。文章回顾既往文献,就肌痛性TMD的病因、临床表现及诊断等做一阐述,分析肌痛性TMD各类型之间的内在关联及转化关系,以促进临床工作中肌痛性疾病的鉴别诊断及合理治疗。Myalgia is an important classification of painful disorders of masticatory muscle dysfunction-type temporomandibular disorders(TMD),including local myalgia,myofascial pain,and myofascial pain with referral.The differential diagnosis of myalgia TMD is very important in clinical treatment and etiological research.This paper reviews the previous literature,expounds the clinical manifestations and diagnosis of myalgia TMD,and analyzes the internal correlation and transformation relationship between the types of myalgia TMD to support differential diagnosis and rational treatment of myalgia diseases in clinical work.

关 键 词：颞下颌关节 颞下颌关节紊乱病 肌痛 肌筋膜痛 牵涉型肌筋膜痛 

分 类 号：R78[医药卫生—口腔医学]