期刊文献+

声电图在可复性颞下颌关节盘前移位诊断中的临床价值 被引量:1

Clinical application of electrosonography in diagnosis of anterior disc displacement with reduction
原文传递
导出
摘要 目的研究可复性颞下颌关节(TMJ)盘前移位关节杂音的波形和声电图特点,探讨其临床应用价值。方法利用计算机系统记录,用K6-I软件分析健康人群、可复性关节盘前移位、不可复性关节盘前移位、骨关节病的TMJ杂音声电图特点,并观察利用声电图辅助诊断可复性TMJ盘前移位的灵敏度和特异度。结果在可复性关节盘前移位关节杂音的声电图中反复出现一种波形,在健康TMJ、不可复性关节盘前移位、骨关节病TMJ杂音中未出现或很少出现该波形。利用声电图辅助诊断TMJ盘前移位的灵敏度为77·2%,特异度为93·3%。结论这种波形可能是可复性关节盘前移位关节杂音的特征波形,声电图检查可能是一种临床辅助诊断TMJ盘前移位的新方法。 Objective To investigate the electrosonography character of sounds emanating from anterior disc displacement with reduction of TMJ and the value of it in clinical diagnosis. Methods The sounds from healthy TMJ, anterior disc displacement with or without reduction of TMJ, and osteoarthritis of TMJ were recorded and analyzed by K6-I system, then the data was used for diagnosis of anterior disc displacement with reduction in clinic. Results A special kind of waveform was found in the electrosonography of sounds from anterior disc displacement with reduction repeatedly, and seldom or not in sounds from healthy joints, anterior disc displacement without reduction or osteoarthritis of TMJ. The diagnostic sensitivity of anterior disc displacement with reduction by using electrosonography analysis was 77.2% and specificity was 93.3% when compared with the clinical diagnosis based on clinical appearance and radiography evidence. Conclusions The special kind of waveform may be characteristic wave of sounds from anterior disc displacement with reduction of TMJ, which is useful for assistant diagnosis of anterior disc displacement with reduction in clinic.
出处 《中华口腔医学杂志》 CAS CSCD 北大核心 2006年第2期108-110,共3页 Chinese Journal of Stomatology
关键词 颞下颌关节 颞下颌关节盘 声电图 Temporomandibular joint Temporomandibular joint disk electrosonography
  • 相关文献

参考文献12

  • 1龙星.颞下颌关节紊乱病.见:龙星,主编.颞下颌关节疾病的诊断与治疗,武汉:湖北科学技术出版社,2002.87-88.
  • 2Leader JK, Robert Boston J, Rudy TE, et aL Quantitative description of temporomandibular joint sounds: defining clicking,popping, egg shell crackling and footsteps on gravel. J Oral Rehabil,2001,28:466-478.
  • 3Prinz JF , Ng KW. Characterization of sounds emanating from the human temporomandibular joints. Arch Oral Biol, 1996,41 : 631-639.
  • 4Widmalm SE, Williams WJ, Adams BS. The wave forms of temporomandibular joint sound clicking and crepitation. J Oral Rehabil, 1996,23:44-49.
  • 5Widmalm SE, Westesson PL, Brooks SL, et aL Temporomandibular joint sounds: correlation to joint structure in fresh autopsy specimens. Am J Orthod Dentofac Orthop, 1992, 101:60-69.
  • 6Miller TL, Katzberg RW, Tallents RH, et al. Temporomandibular joint clicking with nonreducing anterior displacement of the meniscus. Radiology, 1985, 154 : 121-124.
  • 7Ishigaki S, Bessette BW, Maruyama T. Vibration of the temporomandibular joints with normal radiographic imagings:comparison between asymptomatic volunteers and symptomatic patients. Cranio, 1993,11:88-94.
  • 8Gay T, Bertolami CN. The spectral properties of temperomandibular joint sounds. J Dent Res, 1987,66: 1189-1194.
  • 9Heffez L, Blaustein D. Advances in sonography of the temporomandibular joint. Oral Surg Oral Med Oral Pathol, 1986,62:486-495.
  • 10马绪臣,傅开元,孙莉.颞下颌关节紊乱病的命名、分类、临床诊断及治疗程序.见:马绪臣,主编.颞下颌关节病的临床与基础.第2版.北京:人民卫生出版社,2004.179-196.

同被引文献8

  • 1Tanzilli RA, Tallents RH, Katzberg RW, et al. Temporomandibular joint sound evaluation with an electronic device and clinical evaluation. Clin Orthod Res, 2001 4(2): 72-78.
  • 2Gay T, Bertolam CN. The acoustical characteristics of the normal temporomandibular joint. J Dent Res, 1988,67( 1 ) :56-60.
  • 3Heffez L, Blaustein D. Advances in sonography of the temporomandibular joint. Oral Surg Oral Med Oral Pathol, 1986 , 62(5 ) :486-495.
  • 4Akan A, Unsal RB. Time-frequency analysis and classification of temporomandibular joint sounds. J Franklin Institute, 2000,337 (4) : 437-451.
  • 5Prinz JF. Physical mechanisms involved in the genesis of temporomandibular joint sounds. J Oral Rehabil, 1998,25 ( 9 ) : 706-714.
  • 6Sano T, Widmalm SE, Westesson PL, et al. Acoustic characteristics of sound from temporomandibular joints with and without effusion : an MRI study. J Oral Rehabil, 2002,29 (2) : 161-166.
  • 7Buranastidpom B, Hisano M, Soma K. Articular disc displacement in mandibular asymmetry patients. J Med Dent Sci, 2004,51 ( 1 ) :75-81.
  • 8Kircos LT, Ortendahl DA, Mark AS, et al. Magnetic resonance imaging of the TMJ disc in asymptomatic volunteers. J Oral Maxillofac Surg, 1987,45(10) :852-854.

引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部