关节输出,疼痛和功能限制之间的关系:2D和3D比较研究
Sophie Lau Rui Han1, Jie Xiang1, Xiang-Xiang Zeng2
1State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan Province, People's Republic of China.
Journal of pain research
|June 17, 2024
概括
在TMD患者中,关节 (TMJ) 溢出与关节疼痛或功能限制无关. 然而,患有TMD的女性可能面临更高的TMJ溢出风险.
科学领域:
- 医疗成像医学成像
- 矯正牙科 矯正牙科是一種矯正牙科.
- 类风湿病学 类风湿病学
背景情况:
- 关节障碍 (TMD) 是一种影响功能的普遍疾病.
- 了解关节 (TMJ) 溢出在TMD症状中的作用,对于有效管理至关重要.
- 磁共振成像 (MRI) 为TMJ评估提供了先进的可视化.
研究的目的:
- 为了研究动脉溢出和动脉疼痛之间的关系.
- 评估TMJ溢出和功能限制之间的关联.
- 为了比较2D和3D磁力共振成像对TMJ输液的诊断效果.
主要方法:
- 121名被诊断为TMD的患者使用2D和3DMRI进行了评估.
- 在质量和数量上对TMJ输出进行了评估.
- 使用视觉模拟尺度 (VAS) 测量疼痛,用下巴功能限制尺度 (JFLS-8) 测量下巴功能功能.
主要成果:
- 2D和3DMRI在分级TMJ输液方面表现出高度一致.
- 在TMJ输出和TMJ疼痛,椎间盘位移或功能限制之间没有发现显著的关联.
- 女性性别与关节输液的存在有显著相关性 (OR=5.168,p=0.008).
结论:
- 2D定性MRI与3D定量MRI在诊断关节溢出方面同样有效.
- 在TMD患者中,关节溢出与疼痛或功能限制没有显著的关联.
- 患有TMD的女性患者可能患有TMJ输液的风险增加,需要进一步调查.
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