口腔医学 ›› 2024, Vol. 44 ›› Issue (1): 11-15.doi: 10.13591/j.cnki.kqyx.2024.01.003

• 颞下颌关节病专栏 • 上一篇    下一篇

颞下颌关节紊乱病的MRI临床应用进展

魏丽丽,李波,程勇()   

  1. 口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医(学)院,武汉大学口腔医院放射科,湖北武汉(430079)
  • 收稿日期:2023-10-24 出版日期:2024-01-28 发布日期:2024-01-22
  • 通讯作者: 程 勇 E-mail:wb003142@whu.edu.cn
  • 作者简介:程勇,博士,主任医师、教授、硕士研究生导师,现任武汉大学口腔医院副院长,中华口腔医学会口腔颌面放射专委会、颞下颌关节病学及牙合学专委会副主任委员。获国家自然科学基金面上项目2项,发表中英文论文60余篇(SCI论文30篇),“颞下颌关节疾病的基础及临床研究”获教育部高等学校科学进步奖一等奖(排名第二),参编卫生部“十一五”、“十二五”规范教材《口腔颌面医学影像诊断学》,作为副主编参编住院医师规范化培训教材《口腔医学·口腔颌面影像科分册》。已培养硕士研究生12名,在读研究生3名。主要研究方向:唾液腺非肿瘤性疾病、颞下颌关节疾病、口腔颌面医学影像基础及临床研究。

Advances in the clinical application of MRI in temporomandibular joint disorders

WEI Lili,LI Bo,CHENG Yong()   

  1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School &Hospital of Stomatology, Wuhan University; Department of oral radiology, Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2023-10-24 Online:2024-01-28 Published:2024-01-22

摘要:

随着颞下颌关节影像检查手段的发展,磁共振成像逐渐成为颞下颌关节紊乱病的首选检查方法,由于其无电离辐射暴露风险且为非侵入性检查,可清晰显示关节盘、关节腔积液、髁突水肿、咀嚼肌、双板区及滑膜病变,在临床有较大应用价值。本文从关节盘位置及形态改变、关节腔积液、髁突水肿和翼外肌的磁共振成像表现及其相关性研究现状进行探讨,以期为颞下颌关节紊乱病影像诊断提供思路。

关键词: 颞下颌关节紊乱病, 磁共振成像, 关节盘移位, 关节腔积液

Abstract:

With the development of temporomandibular joint(TMJ) imaging methods, magnetic resonance imaging has gradually become the preferred examination method for TMJ disorders, because it has no risk of ionizing radiation exposure and is a non-invasive examination. It can clearly show the joint disc, joint effusion, condylar edema, masticatory muscle, biplate area and synovial lesions, which has great clinical application value. In this paper, the MRI manifestation and correlation of articular disc position and morphological changes, joint effusion, condylar edema and extrapterygoid muscles are discussed, in order to provide ideas for imaging diagnosis of temporomandibular joint disorders.

Key words: temporomandibular joint disorders, magnetic resonance imaging, joint disc displacement, joint effusion

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