单侧有多种症状的颞下颌关节紊乱患者双侧关节锥形束CT对比研究

上海口腔医学 ›› 2016, Vol. 25 ›› Issue (1): 108-111.

单侧有多种症状的颞下颌关节紊乱患者双侧关节锥形束CT对比研究

韩奕诗¹*，李岩峰¹*，吕源¹，郭晓倩²，王照五³，刘斌¹，刘燕¹，韩卫丽4，胡敏³，刘洪臣³

1.解放军总医院第一附属医院口腔科，解放军总医院口腔医学中心，北京 100048；
2.宁夏医科大学总医院口腔科，宁夏银川 750004；
3.解放军总医院口腔医学中心，北京 100048；
4.丰台区社区卫生服务中心口腔科，北京 100071

收稿日期:2015-01-07 修回日期:2015-04-28 出版日期:2016-02-25 发布日期:2016-03-09
通讯作者: 李岩峰，Tel：010-66867496，E-mail:m.god@yeah.net E-mail:hanyishi@yeah.net；李岩峰(1975-)，男，博士，副主任医师。*并列第一作者
作者简介:韩奕诗（1989-），女，硕士，住院医师
基金资助:
解放军总医院临床扶植基金（2014FC-SXYY-1003）；首都卫生发展科研专项（首发2014-4-5022）

Comparative study on bilateral temporomandibular joint of patients with unilateral multiple symptoms in cone-beam computed tomography

HAN Yi-shi¹, LI Yan-feng¹，LV Yuan¹，GUO Xiao-qian²，WANG Zhao-wu³，LIU Bin¹，LIU Yan¹，HAN Wei-li⁴，HU Min³，LIU Hong-chen³.

1.Department of Stomatology, First Affiliated Hospital of PLA General Hospital, Oral Medical Center of PLA General Hospital. Beijing 100048;
2.Department of Stomatology, General Hospital of Ningxia Medical University. Yinchuan 750004, Ningxia Hui Autonomous Region;
3.Department of Stomatology, PLA General Hospital. Beijing 100048;
4.Fengtai District Community Health Service Center. Beijing 100071,China

Received:2015-01-07 Revised:2015-04-28 Online:2016-02-25 Published:2016-03-09

摘要/Abstract

摘要： 目的： 探讨单侧有多种症状的颞下颌关节紊乱（temporomandibular disorders，TMD）患者双侧颞下颌关节（temporomandibular joint，TMJ）在锥形束CT（cone-beam computed tomography，CBCT）成像上可能存在差异的参考层面，为TMD诊断和对比研究提供参考。方法： 选取仅一侧TMJ有多种症状的TMD患者（不含仅有一种症状的病例）50例，通过CBCT三维成像和重建，观察比较同一患者两侧TMJ重建后横断面的水平角；平行于髁突长轴的斜位关节间隙、髁突长轴径值、髁突垂直角；垂直于髁突长轴的斜位与矢状位的关节结节斜度、关节窝深度和关节间隙,采用SPSS13.0 软件包对每例患者上述各测量指标进行两配对样本t检验。结果： 两侧TMJ在矢状位60°关节间隙时的测量值差异显著（P<0.05），平行位120°关节间隙、矢状位90°关节间隙时的测量值差异显著（P<0.01），其余测量值均无显著差异。结论： 对于单侧有多种症状的TMD患者，矢状位或垂直位是较易观察到两侧关节有差异的位置，在这一层面重建意义较大。

关键词: 颞下颌关节紊乱, 颞下颌关节, 锥形束CT

Abstract: PURPOSE: To investigate bilateral temporomandibular joint of patients with unilateral multiple symptoms in cone-beam computed tomography (CBCT) and explore the reference planes that may be different,providing reference for the diagnosis of temporomandibular disorders and comparative study. METHODS： 50 cases with unilateral multiple symptoms（except for cases with unilateral single symptom）were examined by CBCT and the following indexes were observed and analyzed,including horizontal angles of the cross-sectional condyle after the reconstruction in the same patient, joint space, macroaxis diameter of condyle and vertical angles of condyle, which were commonly used at oblique position parallelled to the long axis of condyle, the gradient of articular tubercle and the joint space,which could be obtained at sagittal and oblique position vertical to the long axis of condyle.The data obtained was analyzed by paired t test with SPSS13.0 software package. RESULTS: There was significant difference between the bilateral measured value of joint space when the angle was 60° in sagittal plane (P<0.05).The difference was more significant when the angle was 120° in parallel plane and 90° in sagittal plane(P<0.01). The other measured parameters were not significant different. CONCLUSIONS: For patients with TMD, it is more easily to observe differences between the bilateral measured value of joint space in the sagittal or vertical plane,where the increase of the front joint space can be seen and construction was more significant.

Key words: Temporomandibular disorders, Temporomandibular joint, Cone-beam computed tomography

中图分类号:

R782.6

韩奕诗*，李岩峰*，吕源，郭晓倩，王照五，刘斌，刘燕，韩卫丽4，胡敏，刘洪臣. 单侧有多种症状的颞下颌关节紊乱患者双侧关节锥形束CT对比研究[J]. 上海口腔医学, 2016, 25(1): 108-111.

HAN Yi-shi, LI Yan-feng，LV Yuan，GUO Xiao-qian，LIU Bin，LIU Yan，HAN Wei-li，HU Min，LIU Hong-chen.. Comparative study on bilateral temporomandibular joint of patients with unilateral multiple symptoms in cone-beam computed tomography[J]. Shanghai Journal of Stomatology, 2016, 25(1): 108-111.

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