髁突骨髓腔MRI信号异常与颞下颌关节疼痛的关系

Relationship between condylar marrow signal abnormalities and temporomandibular joint pain

目的:探讨髁突骨髓腔信号异常与关节疼痛的关系。方法:利用MRI金标准,对44例单侧关节疼痛TMD患者88侧关节进行闭口斜矢状位T1W和T2W扫描,以非疼痛侧作为自身对照;利用可视疼痛模拟标尺(VAS)进行疼痛程度的判定,观察髁突髓腔信号异常与疼痛的关系。结果:44个疼痛关节中,11个关节(25％)出现髓腔信号异常,均为水肿型;而44个非疼痛关节中,仅2个关节(4.5％)出现髓腔信号异常,分别表现为硬化型和混合型,经统计学分析,TMJ疼痛与髓腔信号异常有显著相关性(P<0.01)。44个疼痛关节中,骨髓腔信号异常及正常患者VAS平均值分别为39.5±27.5和42.6±21.9。经t检验,两组问差别无统计学意义(P=0.696)。结论:髁突髓腔信号异常与关节疼痛密切相关,而与TMJ疼痛程度无关。

PURPOSE:To investigate the relationship between condylar marrow signal abnormalities and joint pain. METHODS: Oblique sagittal T1 and T2 weighted MR imaging at closed mouth was obtained from 88 joints of 44 patients who complained of unilateral TMJ pain. The condylar marrow signal of pain-free side served as self-control. All patients rated their pain levels by a visual analogue scale (VAS). RESULTS: Of 44 painful joints, 11(25%) joints showed condylar marrow signal abnormalities, all of which were edema pattern. While there had condylar marrow signal abnormalities only in 2(4.5%) of 44 pain-free TMJs. There was significant correlation between joint pain and condylar marrow signal abnormalities (P<0.01). The VAS score of patients with and without condylar marrow signal abnormalities was respectively 39.5±27.5 and 42.6±21.9, There was no correlation between them(P=0.696). CONCLUSION: Temporomandibular joint pain is closely correlated with condylar marrow signal abnormalities, but the pain degree has no association with it.