高分辨率超声波成像与磁共振成像在诊断颞下颌关节脱位方面的诊断价值和临床意义比较:系统性综述

Thariqah Salamah, Glancius Nironsta Harefa
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引用次数: 0

摘要

背景颞下颌关节(TMJ)脱位并不常见,但却对患者的生活质量造成严重的负面影响。磁共振成像(MRI)是诊断颞下颌关节脱位的金标准,但其价格昂贵、耗时长,而且不能在装有起搏器和金属假体的患者身上进行。另一方面,高分辨率超声波检查(HRUS)成本低、可及性高、耗时少。本研究旨在比较 HRUS 和 MRI 在诊断颞下颌关节脱位方面的准确性和可靠性。方法 使用 PubMed、Cochrane Library、ScienceDirect 和 EBSCOhost 数据库进行了全面的文献检索。关键词包括颞下颌关节脱位、颞下颌移位、核磁共振成像和超声波检查。然后根据纳入和排除标准对所获得的文章进行筛选,并使用 QUADAS-2 工具进行质量评估。结果 本系统综述共纳入 5 项研究。关键评估结果显示,与核磁共振成像相比,HRUS 的灵敏度为 74.3%-93.7%,特异性为 84.2%-100%,阳性预测值为 68.2%-100%,阴性预测值为 64.0%-98.3%,准确性为 77.7%-91.7%。结论 HRUS 是诊断颞下颌关节脱位的可靠方法。然而,对于经过选择的晚期病例,核磁共振成像仍是必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnostic value and clinical significance of high-resolution ultrasonography compared to magnetic resonance imaging in diagnosing temporomandibular joint dislocation: a systematic review
BACKGROUND Temporomandibular joint (TMJ) dislocation is uncommon, yet it is associated with a significant negative effect on the patient’s quality of life. Magnetic resonance imaging (MRI), a gold standard for diagnosing TMJ dislocation, is expensive, time-consuming, and cannot be performed on patients with pacemakers and metallic prostheses. On the other hand, high-resolution ultrasonography (HRUS) has low cost, high accessibility, and is less time-consuming. This study aimed to compare the accuracy and reliability of HRUS to MRI in diagnosing TMJ dislocation. METHODS A comprehensive literature search was conducted using PubMed, Cochrane Library, ScienceDirect, and EBSCOhost databases. Keywords such as temporomandibular joint dislocation, temporomandibular displacement, MRI, and ultrasonography were utilized for the search. The articles obtained were then selected based on the inclusion and exclusion criteria, and the quality assessment was conducted using the QUADAS-2 tool. RESULTS 5 studies were included in this systematic review. The critical appraisal results showed sensitivity ranging from 74.3–93.7%, specificity from 84.2–100%, positive predictive value from 68.2–100%, negative predictive value from 64.0–98.3%, and accuracy from 77.7–91.7% of HRUS compared to MRI. CONCLUSIONS HRUS is a reliable method for diagnosing TMJ dislocation. However, MRI is still necessary in selected and more advanced cases.
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