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颞下颌关节骨关节炎改变的超声和影像学评估

Ultrasonographic and Radiographic Evaluation of Osteoarthritic Changes in the Temporomandibular Joint.

作者信息

Dumanlı Didem, Şeker Çiğdem

机构信息

Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Zonguldak Bülent Ecevit University, Zonguldak 67600, Turkey.

出版信息

Diagnostics (Basel). 2025 May 2;15(9):1160. doi: 10.3390/diagnostics15091160.

DOI:10.3390/diagnostics15091160
PMID:40361978
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12072138/
Abstract

: This study aims to determine the sensitivity, specificity, positive predictive value, and negative predictive value by comparing ultrasonography and panoramic radiography with the gold standard cone beam computed tomography in the diagnosis of osteoarthritic changes in the temporomandibular joint (TMJ) and to determine the distribution of these degenerations in terms of age and gender. : In the study, cone beam computed tomography (CBCT), panoramic radiography, and ultrasonography (USG) images of 143 patients who applied to the Dentomaxillofacial Radiology Department of the Faculty of Dentistry of Zonguldak Bülent Ecevit University with complaints of TMJ were retrospectively examined. : As a result of the analysis, the average age of the patients included in the study was found to be 50.3 ± 14.4. The incidence of degenerative changes was higher in females than in males. The most common degenerative change in both genders was found to be flattening. Of the 143 patients' degenerative changes detected on CBCT, 135 (94.4%) were detected on panoramic radiography and 124 (86.7%) were detected on USG. : The sensitivity rates of ultrasound and panoramic radiography were found to be lower than those of CBCT in detecting degenerative changes.

摘要

本研究旨在通过将超声检查和全景放射摄影与颞下颌关节(TMJ)骨关节炎改变诊断的金标准锥形束计算机断层扫描进行比较,来确定其敏感性、特异性、阳性预测值和阴性预测值,并确定这些退变在年龄和性别方面的分布情况。

在该研究中,对143名因颞下颌关节问题到宗古尔达克布伦特·埃杰维特大学牙科学院口腔颌面放射科就诊患者的锥形束计算机断层扫描(CBCT)、全景放射摄影和超声检查(USG)图像进行了回顾性检查。

分析结果显示,纳入研究的患者平均年龄为50.3±14.4岁。女性退变改变的发生率高于男性。在两性中最常见的退变改变是扁平。在CBCT上检测到的143例患者的退变改变中,全景放射摄影检测到135例(94.4%),超声检查检测到124例(86.7%)。

在检测退变改变方面,发现超声和全景放射摄影的敏感性率低于CBCT。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54ff/12072138/5557b7fb5b64/diagnostics-15-01160-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54ff/12072138/b24b76419137/diagnostics-15-01160-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54ff/12072138/441ed4be9f43/diagnostics-15-01160-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54ff/12072138/72c718f67d90/diagnostics-15-01160-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54ff/12072138/addcaf154673/diagnostics-15-01160-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54ff/12072138/5557b7fb5b64/diagnostics-15-01160-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54ff/12072138/b24b76419137/diagnostics-15-01160-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54ff/12072138/441ed4be9f43/diagnostics-15-01160-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54ff/12072138/72c718f67d90/diagnostics-15-01160-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54ff/12072138/addcaf154673/diagnostics-15-01160-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54ff/12072138/5557b7fb5b64/diagnostics-15-01160-g005.jpg

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本文引用的文献

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Med Sci Monit. 2025 May 1;31:e948365. doi: 10.12659/MSM.948365.
2
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Biomedicines. 2024 Dec 21;12(12):2915. doi: 10.3390/biomedicines12122915.
3
Effectiveness of ultrasonography in the diagnosis of temporomandibular joint disorders: A systematic review and meta-analysis.
超声检查在颞下颌关节紊乱病诊断中的有效性:一项系统评价与Meta分析
J Oral Rehabil. 2025 Feb;52(2):243-253. doi: 10.1111/joor.13807. Epub 2024 Jul 18.
4
A Meta-Analysis of the Global Prevalence of Temporomandibular Disorders.颞下颌关节紊乱病全球患病率的Meta分析
J Clin Med. 2024 Feb 28;13(5):1365. doi: 10.3390/jcm13051365.
5
Is magnetic resonance imaging or cone beam computed tomography alone adequate for the radiological diagnosis of symptomatic temporomandibular joint osteoarthritis? A retrospective study.单独使用磁共振成像或锥形束计算机断层扫描对有症状的颞下颌关节骨关节炎进行放射学诊断是否足够?一项回顾性研究。
Int J Oral Maxillofac Surg. 2023 Nov;52(11):1197-1204. doi: 10.1016/j.ijom.2023.04.005. Epub 2023 May 17.
6
The Role of Ultrasound in Temporomandibular Joint Disorders: An Update and Future Perspectives.超声在颞下颌关节紊乱病中的作用:最新进展与未来展望
Front Med (Lausanne). 2022 Jun 20;9:926573. doi: 10.3389/fmed.2022.926573. eCollection 2022.
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Influence of Ultrasound Examination on Diagnosis and Treatment of Temporomandibular Disorders.超声检查对颞下颌关节紊乱病诊断和治疗的影响
J Clin Med. 2022 Feb 23;11(5):1202. doi: 10.3390/jcm11051202.
8
Hand-Carried Ultrasonography Instrumentation in the Diagnosis of Temporomandibular Joint Dysfunction.手提式超声仪器在颞下颌关节紊乱病诊断中的应用
Methods Protoc. 2021 Nov 6;4(4):81. doi: 10.3390/mps4040081.
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Interdisciplinary Approach to the Temporomandibular Joint Osteoarthritis-Review of the Literature.跨学科方法治疗颞下颌关节骨关节炎——文献综述。
Medicina (Kaunas). 2020 May 9;56(5):225. doi: 10.3390/medicina56050225.
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Diagnostic ultrasound assessment of temporomandibular joints: a systematic review and meta-analysis.诊断性超声评估颞下颌关节:系统评价和荟萃分析。
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