颞下颌关节紊乱病患者的临床、磁共振成像及手术 findings——47 例患者的调查研究（这里“findings”直接保留英文，因为在医学语境中它常不做完整翻译，保留英文更专业准确，可根据实际情况灵活处理，如果要翻译可译为“发现”等）

Clinical, magnetic-resonance imaging and surgical findings in patients with temporomandibular joint disorder--a survey of 47 patients.

作者信息

Raustia A M, Pyhtinen J, Pernu H

机构信息

Department of Prosthodontics and Stomatognathic Physiology, University of Oulu, Aapistie, Finland.

出版信息

Rofo. 1994 May;160(5):406-11. doi: 10.1055/s-2008-1032450.

DOI:10.1055/s-2008-1032450

PMID:8173050

Abstract

The purpose of this study was to evaluate and correlate the clinical, magnetic-resonance imaging (MRI), and surgical findings in 47 patients with temporo-mandibular joint (TMJ) disorders. 51 TMJs (24 right, 27 left) were operated on, because 4 patients underwent treatment of both TMJs. The best correlation between MRI and surgical findings was noted in connection with position of the disk. This was surgically confirmed altogether in 88% of cases (45/51). The clinical diagnosis was confirmed by surgical findings in 75% of cases of anterior dislocation of the disk with reduction and 89% of cases of anterior dislocation of the disk without reduction. Bone changes noted by MRI were confirmed by surgery in 71% of cases. MRI was excellent especially relating to disk position and changes in disk morphology. The results show also that there are findings using MRI, e.g. of joint effusion, which cannot be confirmed during surgery.

摘要

本研究的目的是评估47例颞下颌关节（TMJ）紊乱患者的临床、磁共振成像（MRI）及手术 findings，并进行相关性分析。共对51个颞下颌关节（24个右侧，27个左侧）进行了手术，因为有4例患者接受了双侧颞下颌关节治疗。MRI与手术 findings之间的最佳相关性体现在盘的位置方面。在88%的病例（45/51）中，手术证实了这一点。在75%的可复性盘前移位病例和89%的不可复性盘前移位病例中，手术 findings证实了临床诊断。MRI所发现的骨质改变在71%的病例中经手术得到证实。MRI在盘位置及盘形态改变方面表现出色。结果还表明，MRI可发现一些手术中无法证实的 findings，如关节积液。