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颞下颌关节疼痛或功能障碍女性患者的颞下颌关节X线摄影:七年随访。

Radiography of the temporomandibular joint in female patients with TMJ pain or dysfunction. A seven year follow-up.

作者信息

Mejersjö C, Hollender L

出版信息

Acta Radiol Diagn (Stockh). 1984;25(3):169-76. doi: 10.1177/028418518402500303.

DOI:10.1177/028418518402500303
PMID:6475554
Abstract

One hundred and twenty-four patients with temporomandibular joint (TMJ) pain/dysfunction were examined radiographically and 54 of these patients were reexamined at a follow-up approximately after 7 years. The radiographic examination included submentovertical, oblique lateral transcranial and transmaxillary projections. Abnormalities of structure and shape of the bony components were found in 50% of the joints; cortical/subcortical erosion was recorded in 15%, sclerosis in 33% and deviation in shape in 48%. Abnormal condylar position was observed in 46% of the joints. The 20 patients examined only at the follow-up demonstrated a frequency of these findings similar to those observed in patients selected for examination during the treatment period. At the 7-year follow-up, a slight increase in number of all types of abnormalities was found as well as a slight progression of abnormalities present at the first examination.

摘要

对124例颞下颌关节(TMJ)疼痛/功能障碍患者进行了影像学检查,其中54例患者在约7年后进行了随访复查。影像学检查包括颏下-垂直位、斜侧位经颅和经上颌投影。在50%的关节中发现了骨成分结构和形状异常;记录到皮质/皮质下侵蚀的占15%,硬化的占33%,形状偏差的占48%。在46%的关节中观察到髁突位置异常。仅在随访时检查的20例患者中,这些发现的频率与治疗期间选择检查的患者中观察到的频率相似。在7年随访时,发现各类异常的数量略有增加,且首次检查时存在的异常略有进展。

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