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山东大学学报 (医学版) ›› 2021, Vol. 59 ›› Issue (6): 117-121.doi: 10.6040/j.issn.1671-7554.0.2020.1573

• 临床医学 • 上一篇    下一篇

年轻成人颞下颌关节髁突体积、表面积与关节盘矢向位置的关系

刘学业1,李齐明2,唐弘毅1,徐秋平1,陈文倩1,郭泾1   

  1. 1. 山东大学齐鲁医学院口腔医学院·口腔医院正畸科 山东省口腔组织再生重点实验室 山东省口腔生物材料与组织再生工程实验室, 山东 济南 250012;2. 宁波口腔医院正畸科, 浙江 宁波 315010
  • 发布日期:2021-06-10
  • 通讯作者: 郭泾. E-mail:guojing@sdu.edu.cn
  • 基金资助:
    山东省重点研发(公益类)计划项目(2018GSF118240)

Relationship among the volume and surface area of the temporomandibular joint condyle and the sagittal position of disc in young adults

LIU Xueye1, LI Qiming2, TANG Hongyi1, XU Qiuping1, CHEN Wenqian1, GUO Jing1   

  1. 1. Department of Orthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University &
    Shandong Key Laboratory of Oral Tissue Regeneration &
    Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Jinan 250012, Shandong, China;
    2. Department of Orthodontics, Ningbo Stomatological Hospital, Ningbo 315010, Zhejiang, China
  • Published:2021-06-10

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摘要： 目的 探讨年轻成人双侧颞下颌关节(TMJ)髁突体积、表面积和形态学指数(MI)与关节盘矢向位置的关系。 方法 选自2019年1月至2020年12月于山东大学口腔医院正畸科就诊的患者,因正畸需要拍摄锥形束CT(CBCT),与受试者交流沟通后,经受试者同意拍摄双侧TMJ核磁共振成像(MRI),共纳入44例受试者,其中男20例,女24例,18~30岁,平均(24.5±3.3)岁。将CBCT数据导入Mimics 20.0中,对髁突进行三维重建,Mimics 20.0自动计算髁突体积、表面积,MI=髁突体积/表面积。MRI定量评估TMJ关节盘矢向位置。根据双侧TMJ关节盘矢向位置,将每例受试者关节盘矢向位置靠前一侧的髁突体积、表面积、MI数据分至G1组,另一侧数据分至G2组。 结果 不同侧的髁突体积、表面积和MI差异有统计学意义(P<0.001),男性与女性的髁突体积、表面积和MI差异无统计学意义(P>0.05)。髁突体积和表面积与代表TMJ关节盘矢向位置的角度呈负相关(P=0.026; P=0.037),G2组髁突体积、表面积、MI均值大于G1组且差异有统计学意义(P<0.001; P=0.004; P=0.014)。 结论 年轻成人不同侧髁突体积、表面积及MI存在差异,不同性别间未见差异。年轻成人髁突体积和表面积与TMJ关节盘矢向位置呈负相关。

关键词: 颞下颌关节, 髁突, 关节盘移位, 锥形束CT, 核磁共振成像

Abstract: Objective To explore the relationship among the sagittal position of disc and the volume, surface area and morphometric index(MI)of bilateral temporomandibular joint(TMJ)condyle in young adults. Methods During Jan. 2019 and Dec. 2020, patients who came for cone beam computed tomography(CBCT)at the Department of Orthodontics, Stomatological Hospital of Shandong University were invited to participate in the study. After informed consent, the subjects agreed to receive MRI of bilateral TMJ. A total of 44 subjects were enrolled, including 20 males and 24 females, aged 18 to 30(mean 24.5±3.3)years. The CBCT data were imported into Mimics 20.0 to reconstruct the condyle. Mimics 20.0 automatically calculated the volume and surface area. MI equaled to volume / surface area. The sagittal position of disc was quantitatively evaluated with MRI. According to the degree of bilateral disc displacement, the data of condylar volume, surface area and MI on the side with more anterior sagittal displacement were divided into G1 and the data on the other side were divided into G2. Results There were significant differences in the volume, surface area and MI between bilateral condyles(P<0.001), but there were no significant differences between the male and female(P>0.05). The condylar volume and surface area were negatively correlated with the angle representing the sagittal position of TMJ disc(P=0.026; P=0.037). The mean values of condylar volume, surface area and MI in G2 were significantly higher than those in G1(P<0.001; P=0.004; P=0.014). Conclusion There were differences in volume and surface area between bilateral condyles, but no difference between the male and female. The volume and surface area of condyle were negatively correlated with sagittal displacement of TMJ disc in young adults.

Key words: Temporomandibular joint, Condyle, Disc displacement, Cone beam computed tomography, Magnetic resonance imaging

中图分类号: 

  • R728.26
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