颞下颌关节紊乱病的分类、诊断及治疗进展  

Update of the classification,diagnosis and management of temporomandibular disorders

作　　者：傅开元[1] 雷杰[1] FU Kaiyuan;LEI Jie(Center for Temporomandibular Disorders&Orofacial Pain,Peking University School and Hospital of Stomatology,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Beijing 100081,China)

机构地区：[1]北京大学口腔医学院·口腔医院颞下颌关节病及口颌面疼痛诊治中心,国家口腔医学中心,国家口腔疾病临床医学研究中心,北京100081

出　　处：《口腔医学》2024年第1期6-10,共5页Stomatology

基　　金：国家自然科学基金(82170979);北京市科技计划“首都特色”专项(Z141107002514157);首都卫生发展科研专项(CFH 2020⁃4⁃4106);国家临床重点专科建设项目(PKUSSNKP⁃202103);国家口腔医学中心适宜技术推广项目(2023NCSHTP02)。

摘　　要：近年来关于颞下颌关节紊乱病的分类和诊断已基本取得共识。颞下颌关节紊乱病是一种具有明显生物-心理-社会模式特点的心身疾病,除了临床诊断外,还要评价疼痛相关的功能丧失和心理状况。尽管外科手术治疗的水平有了很大的进步,但仍要强调治疗首选是非手术的保守治疗。相当一部分患者症状体征轻微或完全没有任何症状体征,颞下颌关节紊乱病治疗应充分考虑其症状体征对患者的影响程度,而不是仅仅根据临床诊断和影像检查结果而作出是否需要治疗的结论。In recent years,there has been a general consensus on the classification and diagnosis of temporomandibular disorders(TMD).TMD is a psychosomatic disorder with distinct biopsychosocial characteristics.In addition to clinical diagnosis,it is essential to assess pain⁃related functional impairment and psychological conditions.Despite significant advancements in surgical techniques,it must be emphasized that conservative management remains the preferred approach.A considerable proportion of patients may exhibit mild symptoms or be entirely asymptomatic.The decision to make a treatment plan should thoroughly consider the impact of symptoms and signs on the patient rather than solely relying on clinical diagnoses and imaging results.

关 键 词：颞下颌关节 颞下颌关节紊乱病 分类 诊断 治疗 

分 类 号：R782.6[医药卫生—口腔医学]