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颞下颌关节不可复性盘移位的自然病程:一年随访时髁突运动变化及影像学改变

The natural course of nonreducing disk displacement of the temporomandibular joint: changes in condylar mobility and radiographic alterations at one-year follow up.

作者信息

Sato S, Takahashi K, Kawamura H, Motegi K

机构信息

Department of Oral and Maxillofacial Surgery I, Tohoku University School of Dentistry, Sendai, Japan.

出版信息

Int J Oral Maxillofac Surg. 1998 Jun;27(3):173-7. doi: 10.1016/s0901-5027(98)80004-0.

DOI:10.1016/s0901-5027(98)80004-0
PMID:9662007
Abstract

Changes in condylar mobility and radiographic changes were examined in 22 patients (26 joints) who had nonreducing disk displacement. The patients had no treatment for at least one year. Thirty joints in 15 persons with no current or previous temporomandibular joint symptoms served as a control. The clinical signs and symptoms tended to be less severe after one year. Condylar mobility increased significantly during this period, although it remained somewhat limited. There was no significant difference in frequency of radiographically discernible changes of the condyle between patients and controls and the patients showed minimal evidence of progressive disease.

摘要

对22例(26个关节)患有不可复性盘移位的患者进行了髁突活动度变化和影像学变化检查。这些患者至少一年未接受治疗。15名目前或既往无颞下颌关节症状的人身上的30个关节作为对照。一年后临床体征和症状往往不那么严重。在此期间髁突活动度显著增加,尽管仍有一定程度的受限。患者和对照组之间髁突影像学可辨变化的频率没有显著差异,且患者几乎没有进行性疾病的证据。

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