口腔執(zhí)業(yè)醫(yī)師考點：顳下頜關節(jié)紊亂?。ㄉ希?/title> <meta name="description" content="為方便大家復習2020年口腔執(zhí)業(yè)醫(yī)師考試《口腔頜面外科學》考綱相關考點，醫(yī)學教育網(wǎng)編輯將整理的“口腔執(zhí)業(yè)醫(yī)師考點：顳下頜關節(jié)紊亂?。ㄉ希眱?nèi)容分享如下：顳下頜關節(jié)紊亂綜合征是口腔頜面部最常見的疾病，發(fā)病機制尚未完全明了。本癥的主要臨床表現(xiàn)為關節(jié)區(qū)疼痛、運動時關節(jié)彈響、下頜運動障礙等。多數(shù)屬關節(jié)功能失調(diào)、" /> <meta name="keywords" content="口腔執(zhí)業(yè)醫(yī)師考點" /> <link rel="stylesheet" type="text/css" href="http://thedailypurge.net/css/news/2018news2.css?v=20210802"/> <meta name="applicable-device" content="pc"> <style> table.borderVisible td,table.borderVisible th,table.borderVisible caption{border:1px solid } </style> <style> a.hotLink{color:inherit !important;}a.hotLink:hover{text-decoration:underline !important;}a.hotLink::selection{background:#ffeb3b;} </style> <meta http-equiv="Cache-Control" content="no-transform" /> <meta http-equiv="Cache-Control" content="no-siteapp" /> <script>var V_PATH="/";window.onerror=function(){ return true; };</script> </head> 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class="time">2019-12-06 17:31</span> <a href="http://thedailypurge.net" title="醫(yī)學教育網(wǎng)" class="a1">醫(yī)學教育網(wǎng)</a> </div> <a href="javascript:void(0)" onclick="window.external.AddFavorite(location.href,document.title);" target="_self" class="collection ico fr"></a>  <div id="ouqu8a8" class="fen fr">|</div> <div id="wowwgs0" class="font_size fr ico"><a href="javascript:void(0);" target="_self" class="big lan ico">大</a><a href="javascript:void(0);" target="_self" class="small ico">小</a></div> </div> </div> </div>  <div style="width: 800px;text-align: left;margin: 0 auto;margin-bottom: 20px;"> <div style="width:800px; height:90px;">  <a href="http://thedailypurge.net/yishizigekaoshi/baoming/li2412107427.shtml" target="_blank"> <img title="報名預約" src="http://thedailypurge.net/upload/resources/image/2024/12/12/826396.png" width="800" height="90" style="border:0px;"></a> </div> </div>  <p></p>  <div id="og4kgq6" class="news_con"> <div id="ms6eg6k" class="jxbox clearfix"> <p style="text-align: left;">為方便大家復習2020年<a href="http://thedailypurge.net/kouqiangyishi/" target="_blank" title="口腔執(zhí)業(yè)醫(yī)師" class="hotLink">口腔執(zhí)業(yè)醫(yī)師</a>考試《口腔頜面<a href="http://thedailypurge.net/web/waikexue/" target="_blank" title="外科學" class="hotLink">外科學</a>》考綱相關考點，醫(yī)學教育網(wǎng)編輯將整理的“<a href="http://thedailypurge.net/kouqiangyishi/" target="_blank" title="口腔執(zhí)業(yè)醫(yī)師" class="hotLink">口腔執(zhí)業(yè)醫(yī)師</a>考點：顳下頜關節(jié)紊亂?。ㄉ希眱?nèi)容分享如下：</p><p style="text-align: left;">顳下頜關節(jié)紊亂綜合征是口腔頜面部最常見的疾病，發(fā)病機制尚未完全明了。本癥的主要臨床表現(xiàn)為關節(jié)區(qū)疼痛、運動時關節(jié)彈響、下頜運動障礙等。多數(shù)屬關節(jié)功能失調(diào)、預后良好；但極少數(shù)病例也可發(fā)生器質性改變。</p><p style="text-align: left;">病因</p><p style="text-align: left;">1. 精神因素</p><p style="text-align: left;">精神因素在顳下頜關節(jié)紊亂綜合征的發(fā)生和加重過程中起到了非常重要的作用。</p><p style="text-align: left;">2. 創(chuàng)傷因素</p><p style="text-align: left;">很多患者有局部創(chuàng)傷史。如曾受外力撞擊、突咬硬物、張口過大（如打呵欠）等急性創(chuàng)傷；還有經(jīng)常咀嚼硬食、夜間<a href="http://thedailypurge.net/jibing/moya/" target="_blank" title="磨牙" class="hotLink">磨牙</a>以及單側咀嚼習慣等。這些因素可能引起關節(jié)挫傷或勞損，咀嚼肌群功能失調(diào)。</p><p style="text-align: left;">3. 咬合因素</p><p style="text-align: left;">咬合紊亂也可以導致顳下頜關節(jié)紊亂綜合征的發(fā)生或者加重。如咬合干擾、牙齒過度磨損、<a href="http://thedailypurge.net/jibing/moya/" target="_blank" title="磨牙" class="hotLink">磨牙</a>缺失過多、不良修復體、頜間距離過低等。咬合關系的紊亂，可破壞關節(jié)內(nèi)部結構間功能的平衡，促使本癥的發(fā)生。</p><p style="text-align: left;">4. 全身及其他因素</p><p style="text-align: left;">系統(tǒng)性疾病，例如<a href="http://thedailypurge.net/jibing/leifengshi/" target="_blank" title="類風濕" class="hotLink">類風濕</a>性<a href="http://thedailypurge.net/jibing/guanjieyan/" target="_blank" title="關節(jié)炎" class="hotLink">關節(jié)炎</a>，也可以引起顳下頜關節(jié)紊亂。此外，一些醫(yī)源性因素，例如<a href="http://thedailypurge.net/jibing/biyanai/" target="_blank" title="鼻咽癌" class="hotLink">鼻咽癌</a>的放射治療，會導致咀嚼肌的結構和功能改變，也可以引起顳下頜關節(jié)紊亂綜合征。</p><p style="text-align: left;">臨床表現(xiàn)</p><p style="text-align: left;">顳下頜關節(jié)紊亂綜合征主要的臨床表現(xiàn)有關節(jié)局部酸脹或疼痛、關節(jié)彈響和下頜運動障礙。疼痛部位可在關節(jié)區(qū)或關節(jié)周圍；并可伴有輕重不等的壓痛。關節(jié)酸脹或疼痛尤以咀嚼及張口時明顯。彈響在張口活動時出現(xiàn)。響聲可發(fā)生在下頜運動的不同階段，可為清脆的單響聲或碎裂的連響聲。常見的運動阻礙為張口受限，張口時下頜偏斜，下頜左右側運動受限等。此外，還可伴有顳部疼痛、頭暈、耳鳴等癥狀。</p><p style="text-align: left;">診斷</p><p style="text-align: left;">顳下頜關節(jié)紊亂綜合征有很多類型，臨床表現(xiàn)復雜多變，治療方法也各異。因此，顳下頜關節(jié)紊亂綜合征應該由?？脐P節(jié)醫(yī)師來作出具體的診斷和治療計劃。</p><p style="text-align: left;">“<a href="http://thedailypurge.net/kouqiangyishi/" target="_blank" title="口腔執(zhí)業(yè)醫(yī)師" class="hotLink">口腔執(zhí)業(yè)醫(yī)師</a>考點：顳下頜關節(jié)紊亂?。ㄉ希钡膬?nèi)容，由醫(yī)學教育網(wǎng)編輯整理，更多<a href="http://thedailypurge.net/kouqiangyishi/" target="_blank" title="口腔執(zhí)業(yè)醫(yī)師" class="hotLink">口腔執(zhí)業(yè)醫(yī)師</a>考試復習資料、考試動態(tài)、學習經(jīng)驗技巧，敬請關注醫(yī)學教育網(wǎng)<a href="http://thedailypurge.net/kouqiangyishi/" target="_blank" title="口腔執(zhí)業(yè)醫(yī)師" class="hotLink">口腔執(zhí)業(yè)醫(yī)師</a>欄目。</p><p style="text-align: left;"><span style="color: rgb(255, 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