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论文摘要

76 例颞下颌关节紊乱病患者许氏位片中髁突位置的分析

Analysis of condylar position in seventy- six temporomandibular joint disorder pa

作者:蒋峰, 谷志远, 张雄, 陈建平

Author:JIANG Feng, GU Zhi- yuan, ZHANG Xiong, CHEN Jian- ping

收稿日期:2007-09-26          年卷(期)页码:2008,35(2):111-113

期刊名称:国际口腔医学杂志

Journal Name:International Journal of Stomatology

关键字:许氏位片,颞下颌关节紊乱病,髁突位置,

Key words:temporomandibular joint transcranial lateral oblique radiographs, temporomandibular joint disorder,condylar position,

基金项目:

中文摘要

目的 通过颞下颌关节紊乱病(TMD)患者的许氏位片来分析患者的髁突位置变化。方法 选取76 例TMD 患者为研究对象,男性30 例,女性46 例,年龄为17~53 岁。采用Cohlmia 法对76 例患者的双侧颞下颌关节(TMJ)的牙尖交错位标准许氏位片进行测量分析。结果 76 例TMD 患者左侧颞下颌关节的PO1(反映髁突矢状向位置)平均值为1.220±0.422,PO2(反映髁突垂直向位置)平均值为0.386±0.085,右侧颞下颌关节的PO1 平均值为1.119±0.386,PO2 平均值为0.397±0.098,左、右侧髁突位置及关节窝形态的差异均无统计学意义(P>0.05)。结论 在颞下颌关节紊乱病患者的许氏位片中,髁突位置变化不明显,诊断意义不大。

英文摘要

Objective To analyse the condylar position through temporomandibular joint(TMJ)transcranial lateral oblique radiographs by analyzing the temporomandibular joint disorder(TMD) patients. Methods Seventy- six

patients with TMD(30 males, 46 females)were selected, aging from 17 to 53 years. TMJ transcranialateral oblique radiographs were measured and analyzed using the Cohlmia method. Results Among the 76 TMD patients, the mean value of PO1(the anteropsterior axes of condylar position) was 1.220±0.422 and that of PO2(the vertical axes of condylar position)was 0.386±0.085 on the left side, while the mean value of PO1 was 1.119±0.386 and that of PO2 was 0.397±0.098 on the right side. These condylar position and glenoid fossa difference were found to be insignificant(P>0.05). Conclusion The difference of condylar position is not so obviously in the TMD patients, thus the significance of diagnosis is limited.

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