医学
锥束ct
体格检查
医学物理学
临床诊断
放射科
医学影像学
计算机断层摄影术
重症监护医学
出处
期刊:PubMed
日期:2019-08-09
卷期号:54 (8): 505-509
被引量:3
标识
DOI:10.3760/cma.j.issn.1002-0098.2019.08.001
摘要
Diagnosis and treatment of temporomandibular disorders (TMD) have been paid attention greatly by dentists in clinic. Imaging is the most important method for dentists to diagnose TMD correctly. Cone-beam CT (CBCT) and MRI have been demonstrated superiority and necessity that contribute to correctly diagnosis, early diagnosis and follow-up patients. However, there are several significant problems required for professional agreement: the procedures for CBCT and MRI examination need to be standardized; dentists have to be trained regularly for the knowledge of the imaging diagnosis of TMD; it should be emphasized that patient history and clinical examination are much more important for diagnosis, imaging is only a supplement and should not be over used.目前,颞下颌关节紊乱病的诊断和治疗已越来越引起广大口腔医师的重视。影像学检查是明确诊断的主要辅助手段,其中锥形束CT和MRI检查结果对临床的重要性更显示其必要性,如明确诊断、认识疾病;早期诊断、早期治疗;随访追踪、精准治疗。但目前仍有一些突出的问题需要不断改进和完善,并获得共识,如检查方法需进一步规范,资料需能共享;医师自身需不断学习和培训,以提高阅片水平;需重视患者的病史和临床检查,避免过度的影像学检查等。.
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