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颞下颌关节轴位X线体层摄影及磁共振成像结果:一项对比研究。

Temporomandibular joint axiography and MRI findings: a comparative study.

作者信息

Parlett K, Paesani D, Tallents R H, Hatala M A

机构信息

Department of Orthodontics, Eastman Dental Center, Rochester, N. Y.

出版信息

J Prosthet Dent. 1993 Dec;70(6):521-31. doi: 10.1016/0022-3913(93)90266-q.

DOI:10.1016/0022-3913(93)90266-q
PMID:8277441
Abstract

Axiography may be useful in the evaluation of condyle motion and the effects of internal derangements on this motion. Fifty-one patients were selected by one investigator (RHT) to provide a representative sample of asymptomatic and symptomatic subjects for the following categories: (1) normal disk position, (2) disk displacement with reduction, (3) disk displacement without reduction and (4) disk displacement without reduction associated with degenerative joint disease. Axiography was performed by a separate investigator (KGP) in a blinded fashion. The diagnosis of the presence of internal derangement was based on the tracings only. All subjects had bilateral magnetic resonance imaging scans to evaluate for the presence or absence of internal derangement. The diagnostic sensitivity was 0.64, which indicated that axiography is marginal at identifying disease when present. The negative predictive value was 0.78, which indicated that axiography is accurate in the detection of normal disk condyle relationship.

摘要

关节轴描记术在评估髁突运动以及关节内紊乱对该运动的影响方面可能有用。一名研究者(RHT)选取了51名患者,以提供以下几类无症状和有症状受试者的代表性样本:(1)正常盘位置,(2)可复性盘移位,(3)不可复性盘移位,以及(4)与退行性关节病相关的不可复性盘移位。关节轴描记术由另一名研究者(KGP)以盲法进行。关节内紊乱存在与否的诊断仅基于描记图。所有受试者均进行了双侧磁共振成像扫描,以评估关节内紊乱的存在情况。诊断敏感性为0.64,这表明关节轴描记术在识别疾病存在时作用有限。阴性预测值为0.78,这表明关节轴描记术在检测正常盘髁关系方面是准确的。

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