圆束计算机断层扫描作为TMJ形态变化的诊断工具 在盘位移的盘位移
Almustafa Osama1, Mazen Musa2, Hai Juan Zhang3
1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, PR China; Laboratory Centre of Stomatology, College of Stomatology, Xi'an Jiaotong University, Xi'an, PR China; Department of Orthodontics, College of Stomatology, Xi'an Jiaotong University, Xi'an, PR China; Department of Orthodontics, SIU Dental Teaching Hospital, Faculty of Dentistry, Sudan International University, Khartoum, Sudan.
圆束计算机断层扫描 (CBCT) 有效地识别了关节 (TMJ) 盘位移 (DD) 和相关的形态变化. 女性表现出更明显的变化,突出显示CBCTT.
科学领域:
- 牙科 牙科 牙科 牙科
- 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:
- 关节 (TMJ) 盘位移 (DD) 是一种影响关节功能的常见疾病.
- 圆束计算断层扫描 (CBCT) 是一个有价值的成像模式,用于TMJ评估.
- 了解与DD相关的形态变化对于诊断和治疗至关重要.
研究的目的:
- 为了研究TMJ形态变化检测到CBCT在患有盘位移的患者.
- 为了将这些CBCT发现与性别和状体形态相关联.
- 为了确定TMJ盘位移的CBCT衍生的预测因素.
主要方法:
- 对来自147名患者的294名TMJ进行了回顾性研究 (105名女性,42名男性).
- 根据临床诊断和MRI,将关节分类为控制,带有减少的盘位移 (DDR) 和没有减少的盘位移 (DDWR) 组.
- 评估CBCT图像的关节空间,状,状倾斜和形态;统计分析包括克鲁斯卡尔-沃利斯,曼-惠特尼U,皮尔森千平方和多项物流回归.
主要成果:
- 盘位移组 (DDR和DDWR) 与对照组相比,表现出较小的上部和较大的前部关节空间.
- 在DD群体中观察到前面突起倾斜度和洞穴高度降低;在DDWR中占主导地位的平坦.
- 多项逻辑回归确定了减少的中间空间,前面的突出倾向和增加的突出高度作为DD的关键预测因子,与DDWR的额外关联.
结论:
- CBCT有效地检测TMJ形态变化与盘位移相关的变化.
- 特定的CBCT衍生的放射特征提供了对TMJ盘状况的洞察,有助于诊断和预后.
- 研究结果强调了人口相关性,特别是在女性中,强调了CBCT的临床诊断重要性.
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