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论文摘要

髁突髓腔信号异常与颞下颌关节内紊乱关系的研究

Relationship between Condylar Marrow Signal Abnormalities and Temporomandibular Joint Internal Derangement

作者:焦国良,赵二军,王永海,祝玉芬,杜昱平

Author:JIAO Guo-liang1,ZHAO Er-jun1,WANG Yong-hai1,Zhu Yu feng2,Du Yu ping2

收稿日期:2004-10-25          年卷(期)页码:2004,22(05):426-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:颞下颌关节内紊乱,髓腔信号异常,核磁共振,

Key words:temporomandibularjointinternalderangement,condylarmarrowsignalabnormalities,magneticresonanceimaging, ,

基金项目:全军“十五”医药卫生科研基金资助项目(2001-2005年)

中文摘要

目的探讨裸突髓腔信号异常与颗下领关节内紊乱(In印D)的关系。方法利用核磁共振成像(MRI ),对 44例颜下领关节紊乱病(TMD)患者88侧关节完成开闭口T1、闭口位T2加权成像,判定TMD患者的盘突关系及髓腔信号变化。结果TMD患者14.8%(13/88)表现髓腔信号异常,水肿型为II个关节,硬化型及混合型各1个关节,84.6%(11/13)存在TMJID;而75个髓腔信号正常关节中,33.3%(25/75)存在TMJID;髓腔信号异常与TMAD有显著相关性(P

英文摘要

Objective To investigate the relationship between condylar marrow signal abnormalities and temporomandibular joint internal derangement (TMJID).Methods Oblique sagittal Tl weighted MR imaging at closed and open mouth and Oblique sagittal 12 weighted MR imaging at closed mouth were obtained from 88 joints of 44 patients suffering from TMD. Condylar marrow signal abnormalities were reviewed and classified into bone marrow edema pattern (hypo intense T1,hyperintense 712),sclerosis pattern (hypointense TI and hypointense 12) and combined edema and sclerosis pattern. Results Of 88) joints,13(14.8%) joints showed condylar marrow signal abnormalities , among which II belonged to edema pattern and, 1 was sclerosis pattern and the other was the combined pattern. Of 13 joints with condylar marrow signal abnormalities, 11(84.6%)had TMJID. Of 75 joints with normal marrow signal, 25(33.3%)joints had TMJID. There was significant correlation between condylar marrow signal ab- normalities and TMJID(P

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