颞下颌关节诊断性关节镜检查准确性的组织学评估。
A histologic evaluation of the accuracy of TMJ diagnostic arthroscopy.
作者信息
Merrill R G, Yih W Y, Langan M J
机构信息
Oregon Health Sciences University, Portland.
出版信息
Oral Surg Oral Med Oral Pathol. 1990 Sep;70(3):393-8. doi: 10.1016/0030-4220(90)90166-p.
Sixty-seven temporomandibular joints with internal derangement were examined with arthroscopy, and synovial biopsies were taken for histologic evaluation. Histologically, in 10 cases, the synovium appeared to be normal in appearance, 24 cases had moderate to severe synovitis, 11 cases showed hyperplastic synovitis, 13 cases showed synovial fibrosis, and foreign body granuloma was found in 9 cases. Correlation between arthroscopic observation and histologic findings disclosed an 89.1% specificity and 100% sensitivity.
对67例患有颞下颌关节内紊乱的患者进行了关节镜检查，并取滑膜组织进行组织学评估。组织学检查发现，10例患者滑膜外观正常，24例患者有中度至重度滑膜炎，11例患者表现为增生性滑膜炎，13例患者表现为滑膜纤维化，9例患者发现异物肉芽肿。关节镜观察结果与组织学检查结果之间的相关性显示，特异性为89.1%，敏感性为100%。
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