Wenneberg B, Könönen M, Kallenberg A
Faculty of Odontology, University of Goteborg, Sweden.
J Craniomandib Disord. 1990 Winter;4(1):35-9.
Sixty-one subjects with rheumatoid arthritis, 61 with psoriatic arthritis, 61 with ankylosing spondylitis, and 77 healthy controls were examined using orthopantomography to determine the frequency of radiographic changes in the condyle of the temporomandibular joint. Radiographic changes were found significantly more often in subjects with rheumatoid arthritis (66%), psoriatic arthritis (38%), and ankylosing spondylitis (30%) than in controls (12%). Subjects with rheumatoid arthritis also had significantly more radiographic changes, especially cortical erosions and subcortical cysts, than subjects with psoriatic arthritis or ankylosing spondylitis. It may be concluded that rheumatoid arthritis is a more severe disease than psoriatic arthritis or ankylosing arthritis regarding temporomandibular joint involvement.
对61名类风湿性关节炎患者、61名银屑病关节炎患者、61名强直性脊柱炎患者以及77名健康对照者进行全景X线检查,以确定颞下颌关节髁突的影像学改变频率。结果发现,类风湿性关节炎患者(66%)、银屑病关节炎患者(38%)和强直性脊柱炎患者(30%)出现影像学改变的频率显著高于对照组(12%)。与银屑病关节炎或强直性脊柱炎患者相比,类风湿性关节炎患者的影像学改变也明显更多,尤其是皮质侵蚀和皮质下囊肿。可以得出结论,就颞下颌关节受累而言,类风湿性关节炎比银屑病关节炎或强直性关节炎更为严重。