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本文分析了160例确诊为颞下颌关节紊乱综合征(TMJDS)器质性改变类病例的临床资料、X线平片和关节造影片,提出TMJDS器质性改变类可能存在一特殊类型,暂称之为侵蚀性颞下颌关节骨关节炎.其X线平片表现为,关节骨质局限性溶解、缺损、甚至较大范围的骨质侵蚀破坏,而无硬化增生改变.临床特征为;①青年女性多,30岁以下;②病史短,多在1年内;③多因咀嚼痛或/和张口痛求诊,临床检查关节区有明确的压痛;④一部分病人因疼痛而致开口受限;⑤严重骨质破坏者,多已发生了关节盘穿孔;⑥临床保守治疗效果差.
In this paper, we analyzed the clinical data, plain radiographs and arthroplasty films of 160 cases of organic TMJDS type changes. It is suggested that there may be a special type of TMJDS organic alteration class, Which is the erosive temporomandibular joint osteoarthritis.The X-ray film showed the limitations of the joint bone dissolution, defect, and even a wide range of bone erosion damage, without changes in the sclerosis.Clinical features are: ① youth Female, more than 30 years of age; ② history is short, more than 1 year; ③ due to more chewing pain or / and Zhangkou pain, clinical examination of the joint area has a clear tenderness; ④ part of the patient due to pain caused by limited opening; ⑤ Serious bone destruction who have occurred in the perforation of the articular disk; ⑥ poor clinical conservative treatment.