摘要
目的 探讨马绪臣、张震康在 1 998年提出的分类法 (以下简称新分类法 )在我国临床的适用情况。方法 随机抽取 1 995年 1 2月～ 1 997年 1 2月来北京大学口腔医学院颞下颌关节病诊治中心就诊、病历及X线资料完整的病历 2 55例 ,对病例资料、平片资料、造影资料及关节镜资料等进行分析 ,并按照新的诊断分类方法进行分类。结果 以疼痛主诉就诊者共 1 92例 ,占 75.3 0 %。平片资料显示 1 59例具有骨关节病改变 ,造影资料证实可复性关节盘前移位 2 5例 ,占 2 7.4 7% ;不可复性关节盘前移位 2 5例 ,占 2 7.4 7% ;其他移位 (包括关节盘内、外旋转移位等 ) 1 3例 ,占 1 4.2 9%。关节镜检查证实了关节内炎性疾患的存在。按照新的诊断分类标准 ,2 55例TMD患者中 ,咀嚼肌紊乱发生率为 2 4 .3 1 % ;结构紊乱发生率为 2 4 .71 % ;炎性疾病发生率为 58.4 3 % ;骨关节病发生率为63 .92 %。结论 将疼痛概念引入的新的诊断分类法是适用于我国临床情况的 ,并认为随着心理学研究的不断深入 ,心理诊断分类必将进入TMD领域。
Objective To study whether the diagnostic classification,which was proposed by MA Xuchen and ZHANG Zhenkang in 1998 (following called new diagnostic classification),is suitable to the present clinic condition of our country.Methods The total sample was 255 cases,which were randomly selected from 1995.12 to 1997.12 and had complete clinical and X-ray records.We analysed clinical records,plain radiographs,arthrographs and arthroscopic records of their causes and reclassified them according to the new diagnostic classification.Results Within clinical records,192 cases ( 75.30% ) sought treatment because of pain complaint.The plain radiographs showed that 159 cases had various osteoarthritic changes.Arhrographs manifested that 25 cases ( 27.47% ) had disc displacement with reduction;25 cases ( 27.47% ) had disc displacement without reduction and 13 cases ( 14.29% ) had other kinds of disc displacement (including medial,lateral and rotating disc displacement and so on).Arthroscopic examination manifested inflamatory condition in some cases.According to the new diagnostic classification,the prevalence of masticatory muscle disorders was 24.31% ,internal derangement 24.71% ,inflamatory disorders 58.43% and osteoarthrisis 63.29% .Conclusion The new diagnostic classification,into which the concept of pain has been introduced,is suitable to the present clinical conditions of our country.With the development of psychological research,psychological diagnostic classification will surely be introduced into the area of TMD as well.
出处
《现代口腔医学杂志》
CAS
CSCD
2001年第4期283-286,共4页
Journal of Modern Stomatology
关键词
颞下颌关节紊乱病
诊断分
临床应用
Temporomandibular disorders Diagnostic classification
