Goupille P, Fouquet B, Cotty P, Goga D, Mateu J, Valat J P
Department of Rheumatology, Trousseau Hospital, Tours, France.
J Rheumatol. 1990 Oct;17(10):1285-91.
Clinical and computed tomography (CT) examination of the temporomandibular joint (TMJ) was performed in 26 patients with rheumatoid arthritis (RA) and 26 control subjects. Each examination was scored. In the group with RA 61.2% had physical signs in the stomatognathic system compared to 42.3% in a control group (NS); 88.4% of the group with RA had erosive or cystic lesions of the TMJ compared to 57.6% of control subjects (p less than 0.05). The clinical dysfunction score did not correlate with the CT TMJ score in RA. It correlated with the number of slow acting antirheumatic drugs used, the rheumatoid factor titer and radiographic scores of the hands and cervical spine. In agreement with others, we believe that the only specific CT lesions of RA are erosions and cysts of the mandibular condyle, that there is no correlation between clinical and CT findings of TMJ in RA, and that the intensity of destructive lesions of TMJ on CT in RA is well correlated with the severity of the disease.
对26例类风湿性关节炎（RA）患者和26名对照者进行了颞下颌关节（TMJ）的临床及计算机断层扫描（CT）检查。对每次检查进行评分。RA组中61.2%的患者在口颌系统有体征，而对照组为42.3%（无显著性差异）；RA组中88.4%的患者有TMJ侵蚀性或囊性病变，而对照者为57.6%（p<0.05）。在RA患者中，临床功能障碍评分与CT TMJ评分不相关。它与所用慢效抗风湿药物的数量、类风湿因子滴度以及手和颈椎的放射学评分相关。与其他人的观点一致，我们认为RA唯一特异性的CT病变是下颌髁突的侵蚀和囊肿，RA患者TMJ的临床和CT表现之间没有相关性，并且RA患者CT上TMJ破坏病变的严重程度与疾病的严重程度密切相关。
