颞下颌关节内移位患者椎间盘位置状态的临床特征与3t Mri表现的相关性

Zeinab Ghadhanfer Hammod, L. A. Nakib, R. Tawfeq
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摘要

背景:内部紊乱被定义为关节盘位置的异常,有时其形态可能干扰正常功能。本研究旨在探讨颞下颌关节内脱位患者的临床体征、症状与关节盘位置的3种特斯拉磁共振成像表现之间的相关性。材料与方法:采用Helkimo临床功能障碍评分标准对46例(研究组30例,对照组16例)年龄在18 ~ 49岁的患者进行检查。该评分标准包括下颌活动范围、颞下颌关节功能受损、肌肉疼痛、颞下颌关节疼痛和下颌运动时疼痛。结果:病例组(伴颞下颌关节紊乱)与对照组的Helkimo临床功能障碍指数与椎间盘位置MRI表现有显著性差异,且随着该指数的加重,椎间盘移位有进展,呈显著概率(p)值正相关。结论:颞下颌关节内部紊乱患者的Helkimos临床功能障碍指数与MRI表现有显著相关性。
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Correlation between Clinical Features and 3 T Mri Findings of Disc Position Status in Patients with Internal Derangement of Temporomandibular Joint
Background: Internal derangement is defined as an abnormality in the articular disc position and sometimes its’ morphology that may interfere with normal function. The aims of study was to correlate between the clinical signs and symptoms and 3 Tesla magnetic resonance imaging findings of the articular disc position in patients with internal derangement of temporomandibular joint. Materials and methods: A total forty six (30 study and 16 control) participants aged between18 and 49 years, were examined according to Helkimo clinical dysfunction index scoring criteria which include clinical examinations of the range of mandibular mobility, impaired TMJ function, muscle pain ,TMJ pain and pain during mandibular movement. Results: There is statistically high significant difference between Helkimo clinical dysfunction index in the cases group (with temporomandibular joint disorders) and controls group with MRI findings of disc position, that as the severity of index increased, there were progression of disc displacement and shows positive association expressed by significant probability (p) value. Conclusion: There is a significant correlation between Helkimos’ clinical dysfunction index and MRI findings in patients with internal derangement of temporomandibular joint.
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