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对159例重症颅颌功能紊乱(重症CMD)患者的临床表现与颞颌关节(TMJ)病症进行对照观察。结果:125例同时具有TMJ疼痛、弹响和张口受限中两项以上症状;136例(85.53%)存在TMJ压痛,其中不可复性盘前移位(ADDWR)患者为95.16%,盘穿孔(DP)患者为100%,以髁突区压痛最多;张口受限91例(57.23%),全部伴关节压痛且下颌偏向患侧,其中73.63%存在ADDWR或DP;113例(71%)有TMJ弹响,其中86.46%为开口中末期以及开闭口全过程弹响,并且以低钝和破碎声弹响为主(占71.69%),弹响性质与TMJ内病变情况有关。
The clinical manifestations of 159 patients with severe craniofacial dysfunction (severe CMD) were compared with those of temporomandibular joint (TMJ). Results: There were more than two symptoms of TMJ pain, snapping and mouth opening restriction in 125 cases. TMJ tenderness was found in 136 cases (85.53%), of which 95.16% were nonretinal anterior disc movement (ADDWR) (100%) in the perforation of the disk (DP). The condylar area had the highest tenderness. The mouth was limited in 91 cases (57.23%). All the patients had joint tenderness and the mandibular deviation to the affected side, of which 73.63% had ADDWR or DP. Among 113 cases (71%) TMJ snapping, 86.46% of them were snapping at the end of the opening and the whole process of opening and closing, and were mainly dull and broken (71.69%), And TMJ lesions related.