儿童颞下颌关节骨关节病的临床X线特征及追踪研究

Juvenile osteoarthrosis of temporomandibular joint (TMJ) :clinical and radiographic follow-up study

目的 探讨儿童颞下颌关节骨关节病的临床、X线特征及预后等。方法 收集 1 6岁以下因颞下颌关节紊乱症状就诊儿童 348例 ,均无全身系统性疾病 ,血清学检查正常。结合临床及X线检查 ,诊断为儿童颞下颌关节骨关节病 40例 ,对其中 2 0例进行追踪观察。结果 儿童颞下颌关节骨关节病多见于女性 ,关节弹响为最常见症状 ,髁状突骨破坏为最常见的X线表现。结论 儿童颞下颌关节骨关节病的自然发展过程中临床症状及X线表现均可以加重 。

Objective To investigate the clinical,radiographic features and prognosis of juvenile osteoartrosis of temporomandibular joint (TMJ).Methods 348 patients at 16 years of age or younger with TMJ symptoms or signs of dysfunction were included in the study.Among them,40 cases were diagnosed as juvenile osteoarthrosis of TMJ on the basis of the radiographic apperances.20 of these cases were followed-up for 0.5 to 10 years,with mean of 3.8 years.Results Majority of the patients was female and the commonest clinical sign was click.Condylar erosion was the commonest radiographic feature.Conclusion Natural course of some juvenile osteoarthrosis showed that its clinical signs and radiographic manifestations could progressively worsen.