关节盘穿孔和退行性关节变化之间的相关性:CBCT和临床分析
Rong Yang1, Lee Mui Lee1, YaoMin Zhu1
1Department of Oral & Maxillofacial Surgery, Shenzhen Stomatology Hospital Affiliated to Shenzhen University, Shenzhen, GuangDong Province, China.
Journal of oral rehabilitation
|September 28, 2024
概括
关节 (TMJ) 盘穿孔与形光束计算机断层扫描 (CBCT) 上的高级骨退化有着密切的联系. 持续的关节声音和更长的疾病持续时间也增加了关节盘穿孔的风险.
科学领域:
- 牙科 牙科是指牙科的专业.
- 放射学 放射学是一门学科.
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 关节 (TMJ) 盘穿孔是前盘位移不减少 (ADDwoR) 患者的重大并发症.
- 了解圆盘穿孔和退行性关节变化 (DJC) 之间的相关性对于诊断和治疗规划至关重要.
研究的目的:
- 为了研究TMJ盘穿孔和DJC之间在形光束计算机断层扫描 (CBCT) 上观察到的关联.
- 确定可能增加关节盘穿孔风险的相关临床因素.
主要方法:
- 该研究包括238名患有ADDwoR的女性患者 (348个关节),他们接受了TMJ盘开放 anchorage手术.
- 在手术后,患者被分为圆盘穿孔 (DP) 和圆盘不穿孔 (DNP) 组.
- 用CBCT来评估状和关节突出退行性变化,比较DJC和组之间的临床因素.
主要成果:
- 与DNP组相比,DP组显示出明显更高的中期到晚期状骨退行性变化和关节突出变化的发生率.
- 持续的关节声音和更长的疾病持续时间与圆盘穿孔有显著的关联.
- 两组之间在年龄,关节疼痛或口腔开口受限方面没有发现显著差异.
结论:
- 在TMJ CBCT上发生的骨退行性变化是磁盘穿孔的重要危险因素.
- 冠状腺退化的严重程度增加与磁盘穿孔的风险更高相关.
- 持续的关节声音和延长的疾病持续时间是关节盘穿孔的值得注意的临床风险因素.
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