成人颞下颌关节骨关节病骨性改变与Helkimo指数的关系

doi:10.19438/j.cjoms.2018.01.014

中国口腔颌面外科杂志 ›› 2018, Vol. 16 ›› Issue (1): 64-68.doi: 10.19438/j.cjoms.2018.01.014

成人颞下颌关节骨关节病骨性改变与Helkimo指数的关系

张馨匀, 李婵, 李洪发

天津医科大学口腔医院正畸科,天津 300070

收稿日期:2017-04-24 修回日期:2017-07-08 出版日期:2018-01-20 发布日期:2018-02-11
通讯作者: 李洪发, E-mail：leehongfa@aliyun.com
作者简介:张馨匀（1992-）,女,在读硕士研究生,E-mail：zhangxinyun0219@126.com

Study about the relationship between the structural features of adult temporomandibular joint osteoarthritis and Helkimo index by cone-beam CT

ZHANG Xin-yun, LI Chan, LI Hong-fa

Department of Orthodontics, Stomatological Hospital, Tianjin Medical University. Tianjin 300070, China

Received:2017-04-24 Revised:2017-07-08 Online:2018-01-20 Published:2018-02-11

摘要/Abstract

摘要： 目的: 应用锥形束CT（CBCT）研究成人颞下颌关节骨关节病临床症状、体征与关节区CBCT影像学改变之间的联系,为临床诊断提供参考。方法: 选取81例同时具有CBCT影像资料及临床检查记录资料的颞下颌关节骨关节病患者作为研究对象,应用Invivo 5 软件重建影像资料后进行颅面测量并记录。选定关节区图像后,记录颞下颌关节骨性改变,按Helkimo方法整理并记录临床检查结果,应用SPSS 22.0软件包对实验结果进行Spearman等级相关分析。结果: Helkimo指数与颞下颌关节骨关节病髁突骨质变化（P<0.01）及关节窝骨质改变相关（P<0.05）,但与颞下颌关节间隙改变不相关（P>0.05）。结论: 应用CBCT对颞下颌关节骨关节病关节区骨质改变进行观察（包括下颌骨髁突、关节窝骨质）,对临床诊断及判断疾病严重程度有一定指导意义,但是对颞下颌关节间隙改变无提示意义。

关键词: 成人, 颞下颌关节骨关节病, 锥形束CT, 结构特征

Abstract: PURPOSE: Use of cone-beam computer tomography (CBCT) to investigate the relationship between clinical symptoms, signs of adult temporomandibular joint osteoarthritis(TMJOA) and the imaging changes in order to provide reference for clinical diagnosis. METHODS: Eighty-one cases with CBCT images and clinical data were selected. Craniofacial items and TMJ images were measured by using Invivo 5 software and recorded. The final data were analyzed with SPSS 22.0 software package for Spearman rank correlation analysis. RESULTS: A significant correlation was found between Helkimo index and TMJ bony changes in condyle and glenoid fossa (P<0.01). However, no relationship with TMJ space changes was displayed (P>0.05). CONCLUSIONS: Use of CBCT to observe TMJOA bony changes (include mandibular condyle, joint fossa) is helpful for the diagnosis and judgment of disease severity, but not for displaying temporomandibular joint space changes.

Key words: Adult, Temporomandibular joint osteoarthritis, Cone-beam CT, Structural features

中图分类号:

R782.6

张馨匀, 李婵, 李洪发. 成人颞下颌关节骨关节病骨性改变与Helkimo指数的关系[J]. 中国口腔颌面外科杂志, 2018, 16(1): 64-68.

ZHANG Xin-yun, LI Chan, LI Hong-fa. Study about the relationship between the structural features of adult temporomandibular joint osteoarthritis and Helkimo index by cone-beam CT[J]. China J Oral Maxillofac Surg, 2018, 16(1): 64-68.

参考文献

[1] Zarb GA, Carlsson GE.Temporomandibular disorders: osteoarthritis[J]. J Orofac Pain, 1999, 13(4): 295-306.
[2] 马绪臣. 口腔颌面锥形CT 的临床应用[C]// 马绪臣. 颞下颌关节疾病 [M]. 北京: 人民卫生出版社, 2011: 75-78.
[3] 吕春晓, 陈嵩. 颞下颌关节病的临床诊断与磁共振成像影像诊断的相关性研究[J]. 国际口腔医学杂志, 2016, 43(1): 47-51.
[4] Koyama J, Nishiyama H, Hayashi T.Follow-up study of condylar bony changes using helical computed tomography in patients with temporomandibular disorder[J]. Dentomaxillofac Radiol, 2007, 36(8): 472-477.
[5] Helkimo M.Studies on function and dysfunction of the masticatory system. II. Index for anamnestic and clinical dysfunction and occlusal state[J]. Sven Tandlak Tidskr, 1974, 67(2): 101-121.
[6] 马绪臣, 张震康. 颞下颌关节紊乱病双轴诊断的临床意义和规范治疗的必要性[J]. 中华口腔医学杂志, 2005, 40(1): 6-8.
[7] Barrera-Mora JM, Espinar Escalona E, Abalos Labruzzi C, et al.The relationship between malocclusion, benign joint hypermobility syndrome, condylar position and TMD symptoms[J]. Cranio, 2012, 30(2): 121-130.
[8] Shahidi S, Vojdani M, Paknahad M.Correlation between articular eminence steepness measured with cone-beam computed tomography and clinical dysfunction index in patients with temporomandibular joint dysfunction[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2013, 116(1): 91-97.
[9] Kordass B, Hugger A, Bernhardt O.Correlation between computer-assisted measurements of mandibular opening and closing movements and clinical symptoms of temporomandibular dysfunction[J]. Int J Comput Dent, 2012, 15(2): 93-107.
[10] Saxne T, Glennas A, Kvien TK, et al.Release of cartilage macromolecules into the synovial fluid in patients with acute and prolonged phases of reactive arthritis[J]. Arthritis Rheum, 1993, 36(1): 20-25.
[11] Honda K, Larheim TA, Sano T, et al.Thickening of the glenoid fossa in osteoarthritis of the temporomandibular joint. An autopsy study[J]. Dentomaxillofac Radiol, 2001, 30(1): 10-13.
[12] Alexiou K, Stamatakis H, Tsiklakis K.Evaluation of the severity of temporomandibular joint osteoarthritic changes related to age using cone beam computed tomography[J]. Dentomaxillofac Radiol, 2009, 38(3): 141-147.

[1]	郑彤, 姚侃, 钱轶峰, 孙红霞, 卢晓峰, 于雯雯. 成年打鼾人群患阻塞性睡眠呼吸暂停的危险因素分析[J]. 中国口腔颌面外科杂志, 2024, 22(2): 137-142.
[2]	王博, 于洪波, 夏韫晖, 房兵, 郭秋曼. 牙槽骨再生正畸技术治疗成人错畸形伴原发性牙槽骨缺损的远期疗效评价[J]. 中国口腔颌面外科杂志, 2022, 20(3): 225-229.
[3]	范永晶, 金武龙, 王淑敏, 王姝. 234颗多生牙临床特征及继发影响分析[J]. 中国口腔颌面外科杂志, 2022, 20(3): 257-262.
[4]	陈建荣, 丁水清, 陈亮, 何佳嘉, 祁荣兴. 颞下颌关节紊乱的影像学特征：锥形束CT和MRI效能比较[J]. 中国口腔颌面外科杂志, 2022, 20(3): 273-276.
[5]	高志彪, 王磊, 肖霞, 高朵朵. 3种不同手术入路治疗成人髁突骨折效果分析[J]. 中国口腔颌面外科杂志, 2022, 20(2): 184-187.
[6]	盖云, 蒋芝月, 刘曙, 郑之峻. 青春期错畸形患者髁突位置与性别、颅面骨骼形态的相关性分析[J]. 中国口腔颌面外科杂志, 2022, 20(1): 42-47.
[7]	买买提·吐地, 哈尼克孜·莫明, 麦合布拜木·吐儿逊. 下颌颊棚区微螺钉解剖学植入区域位点锥形束CT测量分析[J]. 中国口腔颌面外科杂志, 2020, 18(1): 38-41.
[8]	沈宇清, 刘文娟, 孙健, 余优成, 周倩蓉, 徐艺. 不同分割阈值重建锥形束CT数字化牙模型的精度研究[J]. 中国口腔颌面外科杂志, 2019, 17(3): 221-224.
[9]	李敬华, 姜文静, 王艳辉, 李晓静, 柏娜. 下颌前牙唇侧骨壁厚度及倾斜角度对即刻种植术前设计的影响[J]. 中国口腔颌面外科杂志, 2019, 17(3): 230-234.
[10]	高维青, 陈毅, 王晶波, 樊林峰, 赵怀萍, 陶晓峰, 奚岩, 朱凌. 能谱锥形束CT减少口腔金属伪影的效果评价[J]. 中国口腔颌面外科杂志, 2018, 16(6): 523-527.
[11]	张楚南, 倪杰, 莫嘉骥, 乔士冲, 王蓓, 顾迎新. 美学区种植同期应用异种骨行引导骨再生术后愈合期间唇侧骨改建的临床研究[J]. 中国口腔颌面外科杂志, 2018, 16(1): 29-33.
[12]	郭忠军, 周洪, 李瑞春, 韩凤琴. 微螺钉型种植体支抗对成人双颌前突患者的疗效分析[J]. 中国口腔颌面外科杂志, 2017, 15(6): 519-523.
[13]	胡兆妮, 曲卫国, 李阳, 裘罡, 王吉, 岳柏. 骨性Ⅲ类错▉畸形患者双颌手术后软、硬组织的变化[J]. 中国口腔颌面外科杂志, 2017, 15(6): 524-528.
[14]	张楚南，莫嘉骥，乔士冲，倪杰，王蓓，顾迎新. 前牙美学区引导骨再生同期种植愈合期间边缘骨吸收的前瞻性研究[J]. 中国口腔颌面外科杂志, 2017, 15(5): 416-421.
[15]	杜世文, 俞创奇. 锥形束CT腮腺造影技术对腮腺非肿瘤性疾病的诊断价值[J]. 中国口腔颌面外科杂志, 2017, 15(4): 345-348.

成人颞下颌关节骨关节病骨性改变与Helkimo指数的关系

Study about the relationship between the structural features of adult temporomandibular joint osteoarthritis and Helkimo index by cone-beam CT

PDF (PC)

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价