个体校正侧位体层颞下颌关节造影与内窥镜检查对关节盘移位及穿孔诊断一致性的研究

Study on Agreement between Arthroscopic and Individually Corrected Arthrotomographic Diagnoses of Temporomandibular Joint Disease

作者对42例颞下颌关节疾病患者的48侧关节进行了内窥镜检查,并将结果与个体校正侧位体层颞颌关节造影的结果进行比较,发现二者对盘位诊断的一致性较好,Kappa=0.80;而对盘穿孔诊断的一致性较差,Kappa=0.29,文中讨论了盘移位的镜下特点,作者指出:颞颌关节内窥镜对盘位的诊断可作为衡量X线诊断值的金标准。

From November 1988 to March 1990,42 cases with temporomandibular joint diseasewere examined by arthroscopy for their 48 TMJs.The results were compared with X-ray panel diagnosis which was made from individually corrected arthrotomography ofthe TMJs.Due to typical manifestations of the disk displacement under arthroscopy,the arthroscopic diagnosis may be viewed as‘gold standard’for evaluation of the diagn-osis reported from the individually corrected arthrotomographic images.High Kappavalue demonstrates that there is a nearly perfect agreement between the diagnoses ofdisk positions made by the two methods.While low Kappa value means that there isless agreement on the diagnoses of disk perforation.