断层扫描在颞下颌关节紊乱病患者评估中的应用：一项回顾性临床研究。
Usefulness of tomography in the evaluation of patients with temporomandibular disorders: a retrospective clinical study.
作者信息
Callender K I, Brooks S L
机构信息
University of Michigan School of Dentistry, Ann Arbor, USA.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996 Jun;81(6):710-9. doi: 10.1016/s1079-2104(96)80078-3.
OBJECTIVES
To evaluate the effect of temporomandibular joint tomography on the diagnosis and management of temporomandibular disorders and to determine whether there were any clinical predictors of usefulness of tomography in providing new information helpful in the treatment of these patients.
STUDY DESIGN
The charts of 116 patients with temporomandibular joint tomograms were reviewed retrospectively for presenting signs and symptoms, initial clinical diagnosis, and alterations in diagnosis and management as a result of tomography.
RESULTS
Common clinical diagnoses included osteoarthrosis (54%) and internal derangement (42%). Tomography changed the diagnosis in 24%, mainly adding or subtracting osteoarthrosis, and altered the management in 17%. Most of the latter were minor changes in treatment recommendations. There were few clinical variables that were related to whether tomography changed diagnosis or management.
CONCLUSIONS
Tomography seems to have a minimal effect on the diagnosis or management of temporomandibular disorders based on the results of this retrospective study.
目的
评估颞下颌关节断层扫描在颞下颌关节紊乱病诊断和治疗中的作用，并确定在为这些患者的治疗提供有用新信息方面，断层扫描是否存在任何临床预测指标。
研究设计
回顾性分析116例有颞下颌关节断层扫描图像患者的病历，以了解其症状体征、初始临床诊断以及因断层扫描导致的诊断和治疗改变。
结果
常见临床诊断包括骨关节病（54%）和关节内紊乱（42%）。断层扫描改变了24%患者的诊断，主要是增加或排除骨关节病诊断，17%患者的治疗方案发生改变。后者大多是治疗建议的微小变化。几乎没有临床变量与断层扫描是否改变诊断或治疗方案相关。
结论
基于这项回顾性研究结果，断层扫描似乎对颞下颌关节紊乱病的诊断或治疗影响极小。
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