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首页> 外文期刊>Journal of Clinical Medicine and Research >Correlation between clinical and magnetic resonance imaging (MRI) findings in temporomandibular disorders
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Correlation between clinical and magnetic resonance imaging (MRI) findings in temporomandibular disorders

机译：颞下颌疾病的临床和磁共振成像（MRI）结果之间的相关性

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This study was carried out to determine the value of Magnetic resonance imaging (MRI) as a diagnostic tool in patients with temporomandibular disorders. The clinical presentation and MRI findings on 88 temporomandibular joints belonging to 44 symptomatic patients were retrospectively studied. The disk position, configuration and signal intensity; mandibular condyle morphology and signal intensity; temporomandibular joint space and surrounding soft tissue abnormality were assessed. The correlation between the clinical and MRI findings was statistically analyzed using Fisher’s exact (1-sided) test. Pain in the temporomandibular region was the most common clinical presentation, it accounts for 64% of cases. There was significant correlation between pain, and disc displacement with no reduction (DDWNR) and condylar hyperlaxity (p = 0.04, 0.03, respectively), as well as between clicking and each type of DD (p = 0.00). Statistically significant relationship was also found between tenderness, and DDWNR and presence of joint effusion (p = 0.02, 0.03, respectively) as well as between limitation of mouth opening and condylar marrow edema (p = 0.02). Causes of temporomandibular disorders can be well defined by clinical examination. However, MRI can be preserved for patients with pain in whom an initial medical conservative oral treatment failed in order to exclude other pathological process.
机译：这项研究的目的是确定磁共振成像（MRI）作为颞下颌关节疾病患者诊断工具的价值。回顾性分析44例有症状患者的88例颞下颌关节的临床表现和MRI表现。磁盘位置，配置和信号强度;下颌con的形态和信号强度;评估颞下颌关节间隙和周围软组织异常。使用Fisher精确（1面）检验对临床和MRI表现之间的相关性进行统计分析。颞下颌区疼痛是最常见的临床表现，占病例的64％。疼痛与无复位椎间盘移位（DDWNR）和con突松弛症（分别为p = 0.04，0.03）以及点击和每种DD类型之间都有显着相关性（p = 0.00）。在压痛和DDWNR与存在关节积液（分别为p = 0.02、0.03）以及张口受限和dy突骨髓水肿之间（p = 0.02）之间也发现了统计学上显着的关系。颞下颌疾病的原因可以通过临床检查很好地确定。但是，对于最初的医学保守性口服治疗失败的疼痛患者，可以保留MRI以排除其他病理过程。

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