[类风湿关节炎15例颞下颌关节临床分析]。

Nihon Ago Kansetsu Gakkai Zasshi Pub Date : 1989-01-01
K Tsuchikawa, T Iihama, Y Shibuya, M Sugiura, Y Takeda, Y Umezawa, Y Saito, N Higashino, A Okano, K Mori
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引用次数: 0

摘要

在选择类风湿关节炎的治疗方法时,了解疾病的进展和活动似乎是非常重要的。本文分析了自1974年以来在我科就诊的15例类风湿性关节炎患者的临床症状和颞下颌关节的影像学异常。10例(66.7%)有颞下颌关节的临床表现。最常见的症状是运动疼痛,其次是张口和爬行障碍。长期患病的患者提供了更多的临床证据。1例患者出现急性期症状,如开口障碍、耳前区肿胀和压迫性疼痛。所有患者均表现出一些影像学异常。我们设计了一个关于髁突吸收程度的标准,目的是与其他异常进行比较。1级关节有3个,2级关节有12个,3级关节有14个,4级关节有7个。关节窝和结节的吸收与这个度一致。各关节的临床证据披露程度越高,披露频率越高。病程也与程度相关。99mTc-MDP骨显像可以很好地反映疾病的活动性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Clinical analysis on the temporomandibular joints of the fifteen patients of rheumatoid arthritis].

It is seemed to be really important, when making a selection on the treatment for rheumatoid arthritis, to gain an insight into progress and activity of the disease. This analysis was taken in order to look upon the clinical symptoms and the radiographic abnormalities of the temporomandibular joints, obtained from fifteen rheumatoid arthritis patients who has visited on our department, since 1974. Ten patients (66.7%) had clinical evidences of temporomandibular joint. The most frequent symptom was pain on movement, followed by disturbances on mouth opening and crepitation. Patients who had been suffering from the disease for a long period offered more frequent clinical evidences. The acute phase symptoms, such as disturbances on mouth opening, swelling and oppressive pain in the preauricular area, was found in one patients. All of the patients showed some radiographic abnormalities. We've devised a criteria on the degree of condylar absorption on the purpose of comparison to the other abnormalities. The degree 1 was found in 3 joints, the degree 2 in 12 joints, the degree 3 in 14 joints, and the degree 4 in 7 joints. An absorption on the articular fossae and the tubercles were well along with this degrees. The higher degree the more frequent of clinical evidences in each joints was disclosed. And the period of the disease was related on the degrees, too. We can expect the bone scintigraphy by using 99mTc-MDP to be a good way for expression of the activity of the disease.

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