英亚体育

nindidiandediwei:

颞下颌枢纽杂乱病

颞下颌枢纽杂乱病
颞下颌枢纽杂乱病

niexiaheshuniuzaluanzonghezhengshikouqianghelianbuzuihanjiandejibing,bingfajizhihaibuwanzhengleran。benzhengdeshouyaolinchuangbiaoxianweishuniuqutongkubeishang、goudangshishuniudanxiang、xiahegoudangfangaideng。dadoushushuniugongxiaojunheng、yuhoujiechu;danshaodadoubingliyekechanshengqizhixingzhuanbian。


病因

1.jinglishenfen

jinglishenfenzainiexiaheshuniuzaluanzonghezhengdechanshenghejiazhongjinchengzhongqidaolehenshishouyaodeganhua。

2.chuangshangshenfen

liangduohuanzheyoubufenchuangshangshi。rucengshouwailizhuangji、tuyaoyingwu、zhangkouguoda(rudaqianshen)dengjixingchuangshang;lingyoujingchangpinweiyingshi、yejianmoyahedancepinweixiqideng。zheixieshenfennenggouyinfashuniushanghaihuolaosun,pinweijiqungongxiaojunheng。

3.yaoheshenfen

yaohezaluanyenenggouzhishiniexiaheshuniuzaluanzonghezhengdechanshenghuojiazhong。ruyaohejiaorao、yachiguofenmosun、moyaqueshiguoliang、buliangxiufuti、hejianjiangeguogaodeng。yaoheganxidezaluan,kefensuishuniuwaibubujujiangongxiaodejunheng,cushibenzhengdechansheng。

4.manshenjiqiyushenfen

tixixingjibing,bifangleifengshixingshuniuyan,yenenggouyinfaniexiaheshuniuzaluan。lingwai,yixieyiyuanxingshenfen,bifangbiyanaidepensheyizhi,huizhishipinweijidebujuhegongxiaozhuanbian,yenenggouyinfaniexiaheshuniuzaluanzonghezheng。

临床表现

niexiaheshuniuzaluanzonghezhengshouyaodelinchuangbiaoxianyoushuniubufensuanzhanghuotongkubeishang、shuniudanxianghexiahegoudangfangai。tongkubeishangbuweikezaishuniuquhuoshuniusizhou;bingkebanyouqingzhongbudengdeyatong。shuniusuanzhanghuotongkubeishangyouyipinweijizhangkoushijiaozhe。danxiangzaizhangkougoudangshichengxian。xiangshengkechanshengzaixiahegoudangdechabiejieduan,keweixiangliangdedanxiangshenghuopoliedelianxiangsheng。hanjiandegoudangzhangaiweizhangkoushouxian,zhangkoushixiahepianxie,xiahebaibucegoudangshouxiandeng。lingwai,haikebanyouniebutongkubeishang、touyun、ermingdengbingzheng。

查抄

1.xxianpingpian

shuniuxueshiweihekezhuangtujingyanceweixxianpingpiankefamingyoushuniukongxizhuanbianheguzhizhuanbian,ruruanhua、gufensuihezengsheng、nangyangbiandeng,duizhaoqichiheqichilianggechabiezhuangkuangshikezhuangtudediwei,nenggoulinghuishuniudegoudangzhuangkuang。

2.shuniuzaoying

shangqiangzaoyingyincaozongqingyierduoyong、xiaqiangzaoyingguojiliyongjiaoshao,zaoyingkefamingshuniupanyiwei、chuankong、shuniupanzhufuzhedezhuanbianheruangumiandebiangeng。zuijinjinianlai,bushaoxuezheliyongshuniuneikuijingchachao,kefamingbenbingdechuqizhuanbian,rushuniupanhehuamochongxue、shenxue、zhanlianheweifenjiechengshuderuanguyanggouzaogouchengde“shuniushu”deng。

3.zhuixingshuct(cbct)

cbctdefenbianlvhengao,nenggoufamingshuniuyinggouzaodexianxibujubiangeng,duishuniubingdezhenduanhenyouyisi。

4.cigongzhen(mri)

jingyouguochenggaofenbianlvdemrituxiang,nenggoupandingshuniupanhejiroudengruangouzaodehuanjing,weizhenduanniexiaheshuniuzaluanbinggongjishouyaodexinxi。

诊断

niexiaheshuniuzaluanzonghezhengyouliangduofanli,linchuangbiaoxianpangzaduobian,yizhitiliyegebie。shiyi,niexiaheshuniuzaluanzonghezhengyingdangyouzhuankeshuniuyishilaizuochujutidezhenduanheyizhidasuan。

辨别诊断

youyuliangduoqiyujibingyejingchangchengxianshangshusangeshouyaobingzheng,shiyibixuyuyixiajibingzuobianbie:

1.zhongliu

hemianshenbuzhongliuyekeyinfaqichijiankuhuoyaguanjinbi,youyuzhongliuzaishenbubuyibeichachu,erwuzhenweiniexiaheshuniuzaluanzonghezheng,naizhitingzhilebudedangdeyizhi,luokonglezhongliuchuqigenzhideliangji。shiyi,dangyouqichijianku,chugeshitongshibannaoshenjingbingzhenghuoqiyubingzhengzhe,yingzhenzhuoshibushiyouyixiabuweidezhongliu:①niexiaheshuniuliangxinghuoexingzhongliu,chugeshikezhuangturuanguzhuiliu。②niexiawozhongliu。③yiewozhongliu。④shanghedouhoubiai。⑤saixianexingzhongliu。⑥biyanaideng。

2.niexiaheshuniuyan

(1)jixinghuanongxingniexiaheshuniuyan shuniuqukejianhongzhong,yatongjiaozhe,tebiebunenggaodiduiyao,shaoshijingbiankeyinfashuniuqujutong。

(2)leifengshixingniexiaheshuniuyan changbanyoumanshenyouzouxing,duofaxingshuniuyan,youyisizhixiaoshuniuzuichangshoulei,zaoqikechanshengshuniuqiangzhi。

3.eryuanxingjibing

waierdaojiehezhongeryanzhengyechangpenshedaoshuniuqutongkubeishangbingyingxiangqichihepinwei,xixintingzhierkechachaobunanbianbie。

4.jingzhuibing

keyinfajing、jian、bei、erhouquhemiancebutongkubeishang,qingyiwuzhen。dantongkubeishangyuqichihepinweiyouguan,erjingchangyujingbugoudanghezishiyouguan。youdekeyoushoudechuanranhegoudangfeichang。xxianpiankefuzuozhenduanjingzhuiyoubuguzhibiangeng,yizibianbie。

5.jingtutaizhangzheng

chutunyanshiyanbutongkubeishangheganshoufeichangwai,jingchangzaiqichi、pinweishiyinfakezhuangtuhouqutongkubeishangheshuniuhouqu,erhouquhejingbuqianchetong。xxianpianchachaoqingyiquezhen。

6.yibingxingyaguanjinbi

yibingxingyaguanjinbiruhemanshenqiyujijingluanhuochouchubingzhengbanfa,zezhenduanbiniqingyi。cibingduofayunvqingnian,jiwangyouyibingshi,youguaiyidexingqingtedian,putongzaibingfashiyoujinglishenfen,erhoueranchanshengqichijiankuhuoyaguanjinbi。cibingyongshuohuabiaoshihuozhijiebiaoshi(yongqiyuyizhifalianxishuohuabiaoshi)changnengjianxiao。

医治

1.yaowuyizhi:

(1)feizaitileikangyanyao(nonsteroidalanti-inflammatorydrugs,nsaids):nsaidsjingyouguochengannahuanyanghemei(cyclooxygen-ase,cox)erjinzhihuashengsixisuanfenjieyanzhenghetongkubeishangjiezhiqianxianxiansu,congerchanyangzhitonghekangyanganhua。

(2)liusuananjiputaotang(glucosaminesulfate):gushuniuyandeyaowuyizhimubiaoshixiaomiyanzheng、jiazhongtongkubeishang。guranjinchaohaibuyaowunengqiedangdiannahuoxiufushuniugouzaoheshuniuruangudetuixingxingbian,danyiyouzhengjutixing,liusuananjiputaotanghennenggoushiyizhongjubeitongshigailianggushuniuyanbingzhengheshuniubujudeyaowu。

(3)apianleizhentongyao。

(4)kangfanmenyao。

(5)kangjingjueyao。

(6)pizhileiguchunjisu。

2.feiyaowuyizhi

(1)qishouyaoquchujinglishenfendeyingxiang,xuyaoshixujinglikedafufuzuonidingyizhidasuan,tingzhixinsi-xingdongliaofa;

(2)gaizhengyaoheganxi,hebuliangxiqi,ruguofenzhangkou、dancepinweideng;

(3)qiyufeiyaowuyizhi,ru:shenjinganweiliaofa、shenjingtingzhiliaofa、neikeshoushuyizhi、wuliyizhi、xiyizhenjiuliaofadeng。


李晓利
李晓利

tezhang:yayinhongzhongchuxue、yayinzengsheng、yazhouyizhong、yachisongdong、yazhouyasuijiehebingbiandenggeleiyazhoujibingdezhenduan、yizhishexiangjiyazhoutixiyizhi; shizhiyizhi; yachimeixuexiufu:baohanyazhougenbenyizhi、yazhoushoushuyizhi、shizhiyizhi、yachihanguangmeibai,qianyameixuexiufu、yazhoubingsongdongyazhanjielaogudengyizhishouyi。

chuzhen:zhouyizhizhouwu

jianjie:lixiaoli,yazhou/yachimeirongkezhuren,zhonghuakouqiangyixuehuihuiyuan,luoyangshiyixuehuikouqiangzhuanweihuineimixinzuweiyuan。kouqiangzhuzhiyishi,daxuebenke,xueshixuewei,biyeyuhenandaxuekouqiangyixueyuan,chuzhikouqianglinchuangrenwu10yunian,cengjinxiuyudouchengyikedaxuecongshubeijingyingyatiyuguanfangwangzhan,tixijinxiuyazhouyushizhizhuanye。

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