颞下颌关节紊乱症100例临床分析

Clinical analysis of 100 cases of temporomandibular joint disorder

目的探讨颞下颌关节紊乱症患者的发病机制、临床表现及诊治方法。方法对1997年至2006年间100例颞下颌关节紊乱症患者的临床表现、诊断和治疗进行回顾性分析。结果发病以女性为多,占62%,男性占38%;21～30岁发病率最高,病因以牙合及牙合功能异常为主占56%。临床分型:咀嚼肌紊乱疾病类45例,关节结构紊乱疾病类29例,炎性疾病类20例,骨关节病类6例。结论采用综合治疗的方法,以减轻疼痛及关节异常负荷,恢复关节的正常功能。

Objective To investgate the pathogenesis clinical situation＇and methods of diognosis and therapy of temporomandibular joint disorder. Methods Retrospectus was made on 100 cases of temporomandibular joint disorder patients clinical situation,diagnosis and therapy during 1997--2006. Results The main patients were female, the percentage was 62 %, and male＇s percentage was 38 % ; the age between 21 and 30 was pathogenic fastigium. The main pathogeny was occlusion and occlusion abnormal function, and the percentage was 56 %. Clinical style： chaw muscle disorder genus（45 cases） ,joint structure disorder genus（29 cases） , inflammation genus（20 cases）, hone joint genus（6 cases）. Conclusion The method of integrated therapy should be adopted,in order to alleviate pain and burden of abnormal joint,and renew joint＇s natural function.