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子宫内膜异位症与颞下颌关节——初步观察

Endometriosis and the Temporomandibular Joint-Preliminary Observations.

作者信息

Wójcik Małgorzata, Goździewicz Tomasz, Hudáková Zuzana, Siatkowski Idzi

机构信息

Department of Physiotherapy, Poznan University of Physical Education, Faculty of Sport Sciences in Gorzow Wlkp., 61-871 Poznan, Poland.

Department of Perinatology and Gynecology, Division of Gynecology, Poznan University of Medical Sciences, 61-758 Poznan, Poland.

出版信息

J Clin Med. 2023 Apr 14;12(8):2862. doi: 10.3390/jcm12082862.

Abstract

(1) Background: The complete picture of the disease is not fully recognized and extends far beyond the pelvis. The disease's impacts lead to systemic inflammation, in turn resulting in sensitization to pain. The aim of this study was to check whether statistical correlations exist in women with endometriosis with regard to their experience of pain: headache, pelvic pain, temporomandibular joint pain, along with teeth clenching and the treatment of the disease. We constructed contingency tables, followed by Pearson's chi-square test and Cramer's V coefficient values. (2) Methods: A survey was conducted among 128 women aged 33.43 ± 5.79 with a diagnosis of endometriosis (disease duration 6.40 ± 5.88 years). (3) Results: There was a correlation between the occurrence of pain on the right and left sides of the pelvis and pain on the right and left sides of the temporomandibular joint, -value = 0.0397, V = 0.2350, and between the presence of pelvic pain and the treatment of endometriosis, -value = 0.0104, V = 0.3709, and between the presence of pain outside the pelvis and the treatment of endometriosis, -value = 0.0311, V = 0.4549. There was a highly significant correlation between teeth clenching and temporomandibular joint pain, -value = 0.0005, V = 0.3695. (4) Conclusions: The study revealed a correlation between pelvic endometriosis symptoms and symptoms in the temporomandibular joint.

摘要

(1)背景:该疾病的全貌尚未得到充分认识,其影响范围远远超出骨盆。疾病的影响会导致全身炎症,进而引发疼痛敏感。本研究的目的是检查患有子宫内膜异位症的女性在疼痛经历(头痛、盆腔疼痛、颞下颌关节疼痛以及磨牙)与疾病治疗方面是否存在统计相关性。我们构建了列联表,随后进行了Pearson卡方检验和Cramer's V系数值计算。(2)方法:对128名年龄为33.43±5.79岁、诊断为子宫内膜异位症(病程6.40±5.88年)的女性进行了调查。(3)结果:骨盆左右两侧的疼痛与颞下颌关节左右两侧的疼痛之间存在相关性,P值 = 0.0397,V = 0.2350;盆腔疼痛与子宫内膜异位症的治疗之间存在相关性,P值 = 0.0104,V = 0.3709;骨盆外疼痛与子宫内膜异位症的治疗之间存在相关性,P值 = 0.0311,V = 0.4549。磨牙与颞下颌关节疼痛之间存在高度显著相关性,P值 = 0.0005,V = 0.3695。(4)结论:该研究揭示了盆腔子宫内膜异位症症状与颞下颌关节症状之间的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d934/10144081/16ee4a8127e4/jcm-12-02862-g001.jpg

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