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患有子宫内膜异位症的成年女性颞下颌关节紊乱病的患病率

Prevalence of Temporomandibular Disorders in Adult Women with Endometriosis.

作者信息

Marciniak Tomasz, Walewska Natalia, Skoworodko Agata, Bobowik Patrycja, Kruk-Majtyka Weronika

机构信息

Faculty of Rehabilitation, Józef Piłsudski Academy of Physical Education in Warsaw, 00-968 Warsaw, Poland.

Fizjoklinika Warszawskie Centrum Rehabilitacji i Osteopatii Medycznej, 02-002 Warsaw, Poland.

出版信息

J Clin Med. 2024 Dec 13;13(24):7615. doi: 10.3390/jcm13247615.

Abstract

The prevalence of endometriosis varies between 10% and 18%, while temporomandibular disorders (TMDs) concern between 29 and 34% of the general population. Both conditions share similar etiological factors and symptoms such as widespread, chronic pain. Therefore, both are qualified as Chronic Overlapping Pain Conditions. Even though TMDs and endometriosis appear to be comorbidities, up until now, no research has examined how the incidence rates compare between them. Thus, this study aimed to analyze the prevalence of TMD symptoms in women with endometriosis in the Polish population. 163 adult women with endometriosis, aged 32.41 ± 6.76 years, completed an anonymous online survey regarding their medical history and TMD symptoms. The participants were screened for TMD symptoms using two questionnaires-3Q/TMD and TMD Pain Screener (part of the DC/TMD protocol). The history mainly consisted of a chronology of symptoms' appearance, medical consultations, and final confirmation of the diagnosis, to establish delay time. The analysis revealed that 77.3% of women with endometriosis showed TMD symptoms, and 49.08% of the whole studied population showed important pain levels. Then, the sample was divided into two groups according to the 3Q/TMD questionnaire-a TMD and an nTMD group. The results showed significantly higher pain levels in the TMD group (r = 0.721) compared to non-symptomatic subjects. The mean patients' delay time (T1) was 2.81 ± 4.40 years, and the mean doctors' delay (T2) was 5.32 ± 5.65 years. The results provide a new insight into the relationship between endometriosis and TMD. The prevalence of the latter condition was found to be high, creating a strong recommendation for the use of TMD screening tools in this particular population.

摘要

子宫内膜异位症的患病率在10%至18%之间,而颞下颌关节紊乱病(TMDs)在普通人群中的患病率为29%至34%。这两种病症具有相似的病因和症状,如广泛的慢性疼痛。因此,二者均被归类为慢性重叠疼痛病症。尽管TMDs和子宫内膜异位症似乎存在共病情况,但截至目前,尚无研究探讨它们之间发病率的比较情况。因此,本研究旨在分析波兰人群中患有子宫内膜异位症的女性的TMD症状患病率。163名年龄在32.41±6.76岁的成年子宫内膜异位症女性完成了一项关于其病史和TMD症状的匿名在线调查。使用两份问卷——3Q/TMD和TMD疼痛筛查量表(DC/TMD方案的一部分)对参与者进行TMD症状筛查。病史主要包括症状出现的时间顺序、医疗咨询以及诊断的最终确认,以确定延迟时间。分析显示,77.3%的子宫内膜异位症女性表现出TMD症状,且整个研究人群中有49.08%表现出严重疼痛程度。然后,根据3Q/TMD问卷将样本分为两组——TMD组和非TMD组。结果显示,与无症状受试者相比,TMD组的疼痛程度明显更高(r = 0.721)。患者的平均延迟时间(T1)为2.81±4.40年,医生的平均延迟时间(T2)为5.32±5.65年。这些结果为子宫内膜异位症与TMD之间的关系提供了新的见解。发现后一种病症的患病率很高,强烈建议在这一特定人群中使用TMD筛查工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0caf/11677550/018c23b43567/jcm-13-07615-g001.jpg

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