發(fā)布時(shí)間：2018-06-02 02:23

  本文選題：顳下頜關(guān)節(jié) + 可復(fù)性關(guān)節(jié)盤(pán)前移�。� 參考：《浙江大學(xué)》2014年碩士論文

【摘要】：目的： 借助磁共振技術(shù),對(duì)不同臨床表現(xiàn)的可復(fù)性盤(pán)前移關(guān)節(jié)的盤(pán)髁角度、關(guān)節(jié)盤(pán)形態(tài)及關(guān)節(jié)滲出情況進(jìn)行統(tǒng)計(jì)分析,為早期發(fā)現(xiàn)需要治療的可復(fù)性盤(pán)前移關(guān)節(jié)提供參考。 方法： 收集25例(30側(cè)關(guān)節(jié))經(jīng)MRI證實(shí)為可復(fù)性盤(pán)前移患者,初診時(shí)詳細(xì)記錄病史和顳下頜關(guān)節(jié)專(zhuān)科檢查情況,予開(kāi)閉口斜冠狀位、矢狀位T2WI和PDWI掃描。根據(jù)患者主觀(guān)感受和專(zhuān)科檢查結(jié)果,將所有關(guān)節(jié)分為彈響疼痛組(A組)和無(wú)癥狀組(B組)。對(duì)閉口斜矢狀位盤(pán)髁角度進(jìn)行測(cè)量,記錄關(guān)節(jié)盤(pán)形態(tài)和關(guān)節(jié)滲出等級(jí),采用SPSS20.0軟件包對(duì)源數(shù)據(jù)進(jìn)行T檢驗(yàn)和費(fèi)歇爾概率法檢驗(yàn)。 結(jié)果： A、B組均可見(jiàn)關(guān)節(jié)滲出,但A組關(guān)節(jié)滲出發(fā)生率更高,以中等量滲出為主,存在統(tǒng)計(jì)學(xué)差異(P0.05)。A組關(guān)節(jié)盤(pán)前移角度為52.56±15.5°,B組關(guān)節(jié)盤(pán)前移角度為36.62±10.9°,A組關(guān)節(jié)盤(pán)前移程度高于B組,存在統(tǒng)計(jì)學(xué)差異(P0.05)。A、B兩組的關(guān)節(jié)盤(pán)形變發(fā)生率沒(méi)有統(tǒng)計(jì)學(xué)差異(P0.05),關(guān)節(jié)盤(pán)形態(tài)改變以拉長(zhǎng)形最多見(jiàn)(47.6%),其次為后帶增寬(28.6%) 結(jié)論：MRI中關(guān)節(jié)滲出量、關(guān)節(jié)盤(pán)前移程度與臨床癥狀有關(guān)。
[Abstract]:Objective: With the aid of magnetic resonance imaging (MRI), the condylar angle, the shape of disc and the exudation of the disc anterior displacement joints with different clinical manifestations were statistically analyzed, which could provide a reference for the early detection of the reducible disc anterior joints that need treatment. Methods: A total of 25 cases of 30 joints confirmed by MRI as reducible disc anterior displacement were collected. The history of the disease and the special examination of temporomandibular joint were recorded in detail at the first visit, and the oblique coronal position, sagittal position and PDWI scan were performed on the open and closed oblique coronal position and sagittal position. All the joints were divided into group A and group B according to the subjective feeling of the patients and the results of the special examination. The condyle angle of closed oblique sagittal disc was measured and the joint disc shape and joint exudation grade were recorded. The source data were tested by T-test and Fischer probabilistic test by SPSS20.0 software package. Results: The incidence of joint exudation was higher in group A than in group A, with moderate exudation. There was statistical difference between group A and group A (52.56 鹵15.5 擄). The degree of anterior displacement of disc in group A was 36.62 鹵10.9 擄and that in group A was higher than that in group B. There was no significant difference in the incidence of disc deformation between the two groups (P0.05, P 0.05, P 0.05, P 0.05). The most common morphological changes of the articular disc were elongated, followed by the extension of the posterior band and the extension of the posterior band, 28. 6%) (P < 0. 05, P < 0. 05, P = 0. 05, P < 0. 05). Conclusion the amount of exudation and the degree of anterior displacement of the disc are related to the clinical symptoms.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類(lèi)號(hào)】：R782.6

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