论文部分内容阅读
本文对25例55～75岁颞颌关节紊乱综合征(TMJDS)患者的症状体征进行了分析其特点为疼痛较轻,局限在TMJ周围,病程较长,未引起患者注意的弹响,张口偏斜较张口受限明显,症状以一侧为主。并根据临床症状,结合薛氏位片和CT片检查结果,作了诊断分类分型。所有患者经(牙合)夹板治疗均取得良好疗效,有效率为81.7％。研究提出与老年人TMJDS发病有关因素为严重不均匀的牙齿磨耗所致(牙合)干扰、垂直距离减低、髁状突后移位以及老年人关节退行性变。提示在临床工作中应对就诊的老年人进行TMJDS的问诊和检查以便及时防治。
This article analyzes the symptoms and signs of 25 cases of temporomandibular joint disorders (TMJDS) from 55 to 75 years old. It is characterized by less pain, confined around TMJ, longer duration, no snapping caused by patient's attention, Slightly inclined than the mouth restricted obvious symptoms to one side of the main. And based on clinical symptoms, combined with the Schuell film and CT examination results, made a diagnosis of classification. All patients by (occlusal) splint treatment achieved good results, the effective rate was 81.7%. The study suggests that the factors related to the pathogenesis of TMJDS in the elderly are serious and inhomogeneous tooth occlusion interference, vertical distance reduction, posterior condylar displacement and joint degeneration in the elderly. It is suggested that TMJDS should be interviewed and examined by elderly people who should be treated in clinical work in order to prevent and cure them promptly.