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中华口腔医学研究杂志(电子版) ›› 2018, Vol. 12 ›› Issue (06) : 360 -364. doi: 10.3877/cma.j.issn.1674-1366.2018.06.006

所属专题: 文献

临床研究

SPECT/CT研究颞颌关节盘移位对髁突骨代谢的影响
刘炀1, 孟逍逸1, 焦国良1,()   
  1. 1. 050082 石家庄,中国人民解放军白求恩国际和平医院口腔科
  • 收稿日期:2018-05-29 出版日期:2018-12-01
  • 通信作者: 焦国良

A study with single photon emission computed tomography/computed tomography of the influence of anteriorly disc displacement on condylar metabolism

Yang Liu1, Xiaoyi Meng1, Guoliang Jiao1,()   

  1. 1. Department of Stomatology, Bethune International Peace Hospital, Shijiazhuang 050082, China
  • Received:2018-05-29 Published:2018-12-01
  • Corresponding author: Guoliang Jiao
  • About author:
    Corresponding author: Jiao Guoliang, Email:
引用本文:

刘炀, 孟逍逸, 焦国良. SPECT/CT研究颞颌关节盘移位对髁突骨代谢的影响[J]. 中华口腔医学研究杂志(电子版), 2018, 12(06): 360-364.

Yang Liu, Xiaoyi Meng, Guoliang Jiao. A study with single photon emission computed tomography/computed tomography of the influence of anteriorly disc displacement on condylar metabolism[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2018, 12(06): 360-364.

目的

利用单光子发射型计算机体层摄影(SPECT/CT)骨显像技术研究颞下颌关节盘前移位(ADD)患者髁突骨代谢变化,探讨盘移位时间及程度对髁突骨代谢影响规律。

方法

选取临床及磁共振成像(MRI)检查确诊为单侧颞下颌关节盘前移位患者130例,纳入病例均接受颞下颌关节SPECT/CT检查,对健患侧感兴趣区(ROI)核素计数值与病程及关节盘移位分期进行配对检验及相关性分析。

结果

SPECT/CT检查患侧髁突延迟相异常浓聚阳性率为86.92%(113/130),研究对象健侧(22,13)与患侧ROI计数(26,15)的差异有统计学意义(Z = 8.909,P<0.001),患侧ROI计数与盘移位时间呈负相关(r = -0.332,P<0.001)。

结论

通过SPECT/CT研究得出,随颞下颌关节盘移位时间的推移,ADD髁突成骨性活动降低。

Objective

To evaluate the bone metabolism of condyles in patients with anterior disc displacement (ADD) of temporomandibular joint (TMJ) by using SPECT/CT (single photon emission computed tomography/computed tomography) and investigate the objective law between the bone metabolism changes, medical history and states.

Methods

Inclusion objects consisted of 130 patients definitely diagnosed as ADD by clinical features and MRI. All patients underwent SPECT/CT on the TMJ before treatment. At last, paired tests and correlated analysis were performed.

Results

It was showed that the positive rate of condylar delayed phase accumulation was 86.92% (113/130) . In 130 cases, the difference of counts of region of interest (ROI) between the healthy (22, 13) and affected sides (26, 15) was statistically significant (Z = 8.909, P<0.001) ; there was a negative correlation between ROI counts and course of ADD (P<0.001, correlation coefficient r = -0.332) .

Conclusion

It is suggested that the osteogenic activity of the condyle with ADD decreased with the medical history in the SPECT/CT.

图4 术后SPECT/CT扫描健患侧感兴趣区放射性核素聚集趋于一致
表1 130例患者及不同年龄(岁)分组的观察指标
表2 总体及不同年龄段分组健、患侧感兴趣区计数对比差异统计学结果
表3 不同年龄组患侧感兴趣区计数值与盘移位时间及程度相关性分析
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