中华口腔医学杂志
中華口腔醫學雜誌
중화구강의학잡지
Chinese Journal of Stomatology
2011年
6期
352-354
,共3页
颞下颌关节%颞下颌关节盘%颞下颌关节紊乱病
顳下頜關節%顳下頜關節盤%顳下頜關節紊亂病
섭하합관절%섭하합관절반%섭하합관절문란병
Temporomandibular joint%Temporomandibular joint disk%Temporomandibular disorders
目的 定期追踪随访颞下颌关节盘绞锁患者,初步了解关节盘绞锁的自然病程和转归.方法 初诊为关节盘绞锁的68例患者中,54例进行24个月的电话追踪随访.根据绞锁的病程发展分为:症状进展组(即发生不可复性盘前移位)、症状消失组、症状持续组,并用统计学方法分析组间年龄、性别、病程、有无疼痛和绞锁发生频率间有无差异.结果 54例随访患者中,症状进展组16例(30%),症状持续组32例(59%),症状消失组6例(11%);3组患者的性别、年龄、初诊时有无疼痛和绞锁发生的频率比较,差异均无统计学意义(P>0.05).结论 关节盘绞锁患者发生不可复性盘前移位的风险增大;关节盘绞锁发展为不可复性盘前移位与患者的性别、年龄、病程、有无疼痛和绞锁频率似无关,有待扩大样本量后进一步研究.
目的 定期追蹤隨訪顳下頜關節盤絞鎖患者,初步瞭解關節盤絞鎖的自然病程和轉歸.方法 初診為關節盤絞鎖的68例患者中,54例進行24箇月的電話追蹤隨訪.根據絞鎖的病程髮展分為:癥狀進展組(即髮生不可複性盤前移位)、癥狀消失組、癥狀持續組,併用統計學方法分析組間年齡、性彆、病程、有無疼痛和絞鎖髮生頻率間有無差異.結果 54例隨訪患者中,癥狀進展組16例(30%),癥狀持續組32例(59%),癥狀消失組6例(11%);3組患者的性彆、年齡、初診時有無疼痛和絞鎖髮生的頻率比較,差異均無統計學意義(P>0.05).結論 關節盤絞鎖患者髮生不可複性盤前移位的風險增大;關節盤絞鎖髮展為不可複性盤前移位與患者的性彆、年齡、病程、有無疼痛和絞鎖頻率似無關,有待擴大樣本量後進一步研究.
목적 정기추종수방섭하합관절반교쇄환자,초보료해관절반교쇄적자연병정화전귀.방법 초진위관절반교쇄적68례환자중,54례진행24개월적전화추종수방.근거교쇄적병정발전분위:증상진전조(즉발생불가복성반전이위)、증상소실조、증상지속조,병용통계학방법분석조간년령、성별、병정、유무동통화교쇄발생빈솔간유무차이.결과 54례수방환자중,증상진전조16례(30%),증상지속조32례(59%),증상소실조6례(11%);3조환자적성별、년령、초진시유무동통화교쇄발생적빈솔비교,차이균무통계학의의(P>0.05).결론 관절반교쇄환자발생불가복성반전이위적풍험증대;관절반교쇄발전위불가복성반전이위여환자적성별、년령、병정、유무동통화교쇄빈솔사무관,유대확대양본량후진일보연구.
Objective To investigate the clinical natural course of temporomandibular joint(TMJ) intermittent closed lock(ICL) through 24 months follow-up. Methods Sixty-eight patients with ICL were included, and 54 patients finished 24 months follow-up. The disease duration, frequency of joint lock and joint pain were recorded at the patient′s first visit. Telephone interviews were taken for every month, and the frequency of joint lock and joint pain were recorded. According to the development of ICL, the patients were divided into 3 groups: symptom-worsened group, symptom-disappeared group, symptom-persisted group. Results There were 16 patients(30%) whose symptoms worsened into closed lock (disk displacement without reduction), 32 patients(59%) whose symptoms persisted during the 24 months follow-up, and 6 patients′(11%) symptoms disappeared. In symptom-persisted group,the frequency of joint lock decreased in 11/32(34%), increased in 4/32(13%), did not change in 17/32(53%).There was no significant difference in gender, age, frequency of joint lock and joint pain recorded at the first visit among these 3 groups(P>0.05).The disease duration in the symptom-disappeared group was much shorter than the other 2 groups (P<0.05). Conclusions ICL of TMJ was more likely to get worse into closed lock. There seemed no significant relation between the sequelaes of ICL and patients′ gender, age, disease duration, frequency of joint lock and joint pain, and larger sample studies were necessary.
