在机动车事故患者中,关节障碍会引起混
Xiang Li1, Vandana Singh1,2, Camila Pacheco-Pereira1,2
1Mike Petryk School of Dentistry, University of Alberta, Edmonton, AB T6G 1C9, Canada.
Journal of oral & facial pain and headache
|March 25, 2025
概括
机动车事故 (MVA) 增加了关节障碍 (TMD) 的诊断挑战. 患有MVA史的患者比没有MVA史的患者显示出更多的放射性混因子,如鼻病理和内牙病变.
科学领域:
- 牙科 牙科是指牙科的专业.
- 放射学 放射学是指放射学
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 机动车辆事故 (MVA) 与关节障碍 (TMD) 的发生有关.
- 诊断TMD疼痛是复杂的,因为疼痛来自各种来源.
- 在MVA患者中识别放射性混因子 (RC) 对于准确的TMD诊断至关重要.
研究的目的:
- 为了确定MVA患者患有TMD症状的流行的放射性混因子.
- 为了比较MVA患者中RCs的患病率与接受关节成像的非MVA患者.
- 帮助临床医生区分TMD疼痛与其他疾病.
主要方法:
- 分析了738个关节的圆束计算机断层扫描 (CBCT) 扫描.
- 案件根据MVA历史进行了分层.
- 人口统计和RCs的患病率被计算和使用基平方测试进行比较.
主要成果:
- 在MVA患者 (n=151) 中,平均RCs为1.10/患者,明显高于非MVA患者 (n=218),RCs为0.68/患者.
- 在MVA患者 (39.1%) 和非MVA患者 (28.0%) 中,鼻腔病理的患病率更高,p=0.025.5.
- 在MVA患者 (22.5%) 与非MVA患者 (10.1%) 之间,内病变也更频繁,p=0.001.
结论:
- 放射性混因子在出现TMD症状的MVA患者中更为常见.
- 临床医生需要了解这些混因素,以准确诊断TMD.
- 建议在专家转诊之前进行全面的牙科评估,以防止误诊和延迟.
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