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论文摘要

关节源性颞下颌关节痛患者关节内窥镜检查结果

Arthroscopic Investigation of the Status of Temporomandibular Joint in Patients with Temporomandibular Joint Pain

作者:马东,马文玲,张引成,赵文清

Author:MADong1, MA Wen-ling2, ZHANG Yin-cheng1, ZHAO Wen-qing1

收稿日期:2005-08-25          年卷(期)页码:2005,23(04):313-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:颞下颌关节,关节痛,关节镜,

Key words:temporomandibular joint,joint pain,arthroscopy,

基金项目:

中文摘要

目的 探讨颞下颌关节紊乱病伴关节源性关节痛患者的关节腔内状况。方法 对20例颞下颌关节紊乱 病伴关节源性关节痛患者(按Truelove等关于颞下颌关节紊乱病的诊断分类标准确定)的23侧颞下颌关节先后进 行X线片检查和关节内窥镜检查。结果 关节镜下23侧关节内至少存在1种不同程度的腔内病变,最多有6种病 变共存。结论 局限于颞下颌关节的关节痛可能与关节腔内病理改变有关,可能是炎症(滑膜炎)引起疼痛。

英文摘要

Objective To investigate the status of the temporomandibular joint(TMJ) in patients with complaints of joint pain for improving clinical therapy.Methods Twentythree joints in twenty patientswho complained ofTMJ painwere examined radio- graphically and arthroscopically.Results There were at least one and more to six pathological changes could be found arthro- scopically in the 23 temporomandibular joints, which were different in some respects with radiographic findings.Conclusion TMJ related pain may be associated with pathological alterations in the TMJ, and synovitis may be one of the causes ofTMJ pain.

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