伴或不伴关节积液的 TMD 患者的临床和 MRI 特征的对比研究：一项回顾性研究。

Comparative study of clinical and MRI features of TMD patients with or without joint effusion: a retrospective study.

机构信息

Department of Temporomandibular Joint Surgery, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou, 510000, China.

School of Stomatology, Guangzhou Medical University, Guangzhou, China.

出版信息

BMC Oral Health. 2024 Mar 9;24(1):314. doi: 10.1186/s12903-024-04065-4.

DOI:10.1186/s12903-024-04065-4

PMID:38461246

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10924403/

Abstract

BACKGROUND

The relationship between joint effusion and temporomandibular disorders (TMD) remains unclear. The purpose of this study was to investigate the correlation among joint effusion, clinical features and MRI imaging features of TMD.

METHODS

A total of 1532 temporomandibular joints (TMJs) from 766 patients (605 females and 161 males) with the mean age of 31.68 ± 13.71 years from January 2022 to June 2023 were included in the study. Clinical and MRI features were collected and analyzed. Chi-Square test, Spearman correlation coefficient and binary logistic regression analysis were performed.

RESULTS

Patients with joint effusion were significantly older and had smaller value of MIO (p < 0.001). There were significant differences in the distribution of joint sounds (with or without), joint pain (with or without), disc morphology (biconcave, contracture, irregular and lengthened) and disc position between joint effusion group (JE) and non-joint effusion group (NA) (P < 0.05).The odds of having joint effusion were 1.726 higher in patients with joint sounds when compared to those without joint sounds. The odds of having joint effusion were 8.463 higher in patients with joint pain when compared to those without joint pain. The odds of having joint effusion were 2.277 higher in patients with contracture when compared to those with biconcave. The odds of having joint effusion were 1.740 higher in patients with anterior disc displacement with reduction (ADDWR) when compared to those with normal disc position. The prediction accuracy of this model is 74.9%, and the area under curve (AUC) is 79.5%, indicating that it can be used for the prediction and the judgment effect is average.

CONCLUSIONS

The results demonstrated that joint sounds, joint pain, contracture, and ADDWR are high risk factors for joint effusion, especially joint pain.

TRIAL REGISTRATION

This study was retrospectively registered on 28/03/2022 and endorsed by the Ethics Committee of Affiliated Stomatology Hospital of Guangzhou Medical University (LCYJ2022014).

摘要

背景

关节积液与颞下颌关节紊乱（TMD）之间的关系尚不清楚。本研究旨在探讨 TMD 关节积液与临床特征及 MRI 影像学特征的相关性。

方法

纳入 2022 年 1 月至 2023 年 6 月期间 766 例（女 605 例，男 161 例）年龄为 31.68±13.71 岁的颞下颌关节紊乱患者的 1532 个颞下颌关节，收集并分析其临床及 MRI 特征。采用卡方检验、Spearman 相关系数及二项 logistic 回归分析。

结果

关节积液组患者年龄较大，MIO 值较小（p<0.001）。关节弹响（有或无）、关节痛（有或无）、关节盘形态（双凹形、挛缩、不规则形和延长形）及关节盘位置在关节积液组（JE）与非关节积液组（NA）之间存在显著差异（P<0.05）。与无关节弹响的患者相比，有弹响的患者发生关节积液的几率高 1.726 倍。与无痛的患者相比，有疼痛的患者发生关节积液的几率高 8.463 倍。与双凹形相比，挛缩的患者发生关节积液的几率高 2.277 倍。与正常关节盘位置相比，有前移位可复性关节盘（ADDWR）的患者发生关节积液的几率高 1.740 倍。该模型的预测准确率为 74.9%，曲线下面积（AUC）为 79.5%，表明该模型可用于预测，且判断效果一般。