临床特征对退行性关节疾病的放射性进展的影响:一个回顾性的形束计算机断层扫描研究
Chu-Qiao Xiao1, Yi-Chun Yang2, Grace Paka Lubamba1,3
1State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Department of Head and Neck Oncology Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China.
牙紧张和口腔开口受限等临床特征是关节退行性关节疾病 (DJD) 进展的重要风险因素. 这些发现有助于早期识别和管理DJD.
科学领域:
- 口腔和牙面部外科手术
- 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) 退行性关节疾病 (DJD) 是一个常见的疾病.
- 了解影响DJD进展的因素对于患者管理至关重要.
研究的目的:
- 研究TMJ DJD的临床特征和长期放射性进展之间的关联.
- 为了确定DJD进展的风险因素.
主要方法:
- 从104名患有DJD或不确定的DJD的患者中对198名TMJ进行了回顾性评估.
- 在基线和随访 (≥1年) 时使用形束计算断层扫描 (CBCT) 扫描.
- 收集人口统计数据,口腔行为,首席投诉和临床发现.
主要成果:
- 在33%的DJD和24%的不确定的DJD病例中观察到放射性进展.
- 进展的重大风险因素包括牙紧张,盘子位移而没有缩小,口腔开口有限,最大切口开口<35毫米.
- 角度 II 类缺陷显示出潜在的保护作用.
结论:
- 临床特征与TMJ DJD进展有显著的相关性.
- 多变量和生存树分析为识别有风险的患者提供了中等的预测准确性.
- 建议进一步进行多中心验证.
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