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目的 探讨如何采用客观定量的方法评价颞下颌关节功能障碍程度和颞下颌关节紊乱病 (temporomandibulardisorders ,TMD)的治疗效果。方法 分别采用Fricton颞下颌关节紊乱指数和Helkimo临床检查功能障碍指数 ,定量计算每例患者 (共 60例 )的颞下颌关节紊乱指数 ,评价不同检查者获得的各项指数的一致性 ,并应用Fricton颞下颌关节紊乱指数定量评价TMD急性不可复性盘前移位的临床治疗效果。结果 ①不同检查者获得的各项Fricton紊乱指数值相近 ;②Fricton紊乱指数可明确反映TMD急性不可复性盘前移位治疗后临床功能的改善。结论 评价TMD功能障碍程度或评价TMD治疗效果宜避免使用非客观的、描述性的报告 ,Fricton紊乱指数是一方便且有效的客观定量指标。
Objective To explore how to evaluate the therapeutic effect of temporomandibular disorders (TMD) by objective and quantitative methods. Methods The Fricton temporomandibular joint disorder index and Helkimo clinical examination dysfunction index were respectively used to quantitatively calculate the TMJ index of each patient (60 cases in total), and to evaluate the consistency of the indexes obtained by different examiners. Fricton Temporomandibular joint disorder index quantitative evaluation of TMD acute irreversible clinical study of preoperative displacement. Results ① The values of Fricton’s disorder indexes obtained by different examiners were similar; ②Fricton’s disorder index could clearly reflect the improvement of clinical function after TMD’s acute irreversible disc displacement. Conclusions To evaluate the extent of TMD dysfunction or to evaluate the efficacy of TMD, non-objective and descriptive reports should be avoided. Fricton’s disorder index is a convenient and effective objective quantitative indicator.