颞下颌关节双对比层析成像并发症分析。

Nihon Ago Kansetsu Gakkai Zasshi Pub Date : 1989-01-01
A Takahashi, A Jikko, S Murakami, Y Takemori, M Fujishita, H Fuchihata
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引用次数: 0

摘要

颞下颌关节(Temporomandibular joint, TMJ)关节造影是评价颞下颌关节软组织病变的一种有价值的诊断方法。然而,关节造影或多或少是一种侵入性技术。本研究的目的是探讨TMJ关节造影后损伤的种类和内容。比较关节造影前后的症状。在接受TMJ关节造影术的90个关节中,39个关节在一个月内出现了诸如疼痛和/或牙关等并发症。26例患者抱怨疼痛情况发生变化,包括不适。最常见的是开口疼痛。每个关节的疼痛在一个月内消失,无需任何治疗。关节造影前有疼痛的患者疼痛加重的频率很高。11例患者可识别最大开放度的变化。这种情况的持续时间比疼痛情况的持续时间稍长。迟发咔哒声的5个关节中,3个关节出现闭锁。其他并发症包括肿胀、咀嚼障碍、湿疹、听力障碍和面部感觉异常。所有症状在1周内消失,无需任何治疗。从这些结果表明,虽然关节造影有一定的骨和软组织损伤的可能性,但对TMJ造成严重损伤的可能性很小。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Analysis of complications following double contrast arthrotomography of the temporomandibular joint].

Temporomandibular joint (TMJ) arthrography is a valuable diagnostic method to evaluate the pathology of soft tissue components of the TMJ. However, arthrography is more or less invasive technique. The aim of this study was to investigate the sort and content of injury following TMJ arthrography. The symptoms before and after the arthrography were compared. In 90 joints that underwent TMJ arthrography, complications such as pain and/or trismus were encountered in 39 joints within one month. Twenty six patients complained of the change of pain conditions including the discomfort. The most common one was the pain on mouth opening. In every joint the pain disappeared within one month without any treatment. There was a high frequency of exacerbated pain in patients with some pain before the arthrography. The change of the degree of maximum opening was recognized in 11 patients. The duration of that condition was somewhat longer than that of pain conditions. In 5 joints with late clicking, 3 developed closed lock. Other complications were swelling, disability of mastication, eczema, hearing impairment and facial paresthesia. All the symptoms disappeared within 1 week without any treatment. From these results it was suggested that TMJ arthrography has low possibility of severe damage to the TMJ although there is some possibility of injury to the bone and soft tissue by arthrographic procedures.

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