国际口腔医学杂志

国际口腔医学杂志 ›› 2026, Vol. 53 ›› Issue (4): 537-544.doi: 10.7518/gjkq.2026026

• 论著 • 上一篇    

颞下颌关节盘可复性前移位患者关节振动特征研究

李晶晶1(),邵琳琳2,俞青1()   

  1. 1.南京大学医学院附属口腔医院·南京市口腔医院口腔修复科 南京 210008
    2.苏州大学附属儿童医院口腔科 苏州 215025
  • 收稿日期:2025-06-06 修回日期:2025-07-18 出版日期:2026-07-01 发布日期:2026-06-25
  • 通讯作者: 俞青
  • 作者简介:李晶晶，医师，硕士，Email：jingjing.li@smail.nju.edu.cn
  • 基金资助:
    南京市生命健康科技专项项目(202205051)

Vibrational characteristics of the temporomandibular joints in patients with anterior disc displacement with reduction

Jingjing Li1(),Linlin Shao2,Qing Yu1()   

  1. 1.Dept. of Prosthodontics, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China
    2.Dept. of Stomatology, Children’s Hospital of Soochow University, Suzhou 215025, China
  • Received:2025-06-06 Revised:2025-07-18 Online:2026-07-01 Published:2026-06-25
  • Contact: Qing Yu
  • Supported by:
    Nanjing Special Program for Life and Health Science and Technology(202205051)

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摘要：

目的 本试验通过搭建颞下颌关节声学检测系统，比较患有可复性关节盘前移位（ADDWR）和健康的颞下颌关节在开闭口运动中关节音振动参数的差异。 方法 选择51个ADDWR关节和51个健康关节为研究对象，通过颞下颌关节声学检测系统检测最大张闭口时TMJ的振动参数，包括峰幅值、振动总能量、不同频段（频率>800 Hz和≤800 Hz）的振动能量，使用Mann-Whitney非参数检验进行组间比较。 结果 ADDWR关节的振动总能量、峰幅值、各频段（>800 Hz和≤800 Hz）的振动能量均明显高于对照组（P<0.01），ADDWR关节振动多发生在开口期。 结论 与健康关节相比，ADDWR关节振动有特征性变化；颞下颌关节声学检测系统可作为一种动态、无创、经济的辅助检查和早期筛查工具，为未来颞下颌关节紊乱病的诊断研究提供新思路。

关键词: 颞下颌关节紊乱病, 关节盘前移位, 关节振动分析, 加速度计, 颞下颌关节声学诊疗系统

Abstract:

Objective　This study aimed to compare the vibration parameters of temporomandibular joint (TMJ) sounds during mouth opening and closing between patients with anterior disc displacement with reduction (ADDWR) and healthy individuals by using a TMJ vibration analysis system. Methods　Vibration signals were collected during maximum mouth opening and closing from 51 joints diagnosed with ADDWR and 51 healthy control joints. The following parameters were extracted and analyzed: peak amplitude, total vibrational energy, vibrational energy above 800 Hz, and vibrational energy below 800 Hz. They were assessed and compared using the Mann-Whitney U test. Results　The parameters evaluated were significantly higher in the ADDWR group than in the control group (P<0.01). Vibrations in ADDWR joints predominantly occurred during the mouth-opening phase. Conclusion　The vibrational characteristics of ADDWR joints differ significantly from those of healthy joints. The TMJ vibration analysis system provides a dynamic, noninvasive, and cost-effective tool with potential utility in the auxiliary assessment of temporomandibular disorders.

Key words: temporomandibular disorders, anterior disc displacement, joint vibration analysis, accelerometer, temporomandibular joint vibration analysis system

中图分类号: 

  • R782.6

图1

颞下颌关节声学检测系统示意图"

图2

颞下颌关节声学检测系统界面"

表 1

试验设备与软件"

设备和软件名称型号出产公司
设备加速度传感器SENTHER 510-A-100-M上海领途实业有限公司，中国
数据采集卡VK700深圳微精艺电子有限公司，中国
联想台式电脑启天M650-N000联想集团，中国
软件制图与分析软件（OriginPro graphing & analysis）2021bOriginLab公司，美国
数学计算软件（MATLAB）R2021bMathWorks公司，美国
统计分析软件（SPSS statistics）26.0IBM公司，美国
颞下颌关节声学检测系统本研究自行搭建

图3

试验组和对照组的时域信号图A：对照组；B：试验组。"

图4

最大开闭口过程中3个阶段的频谱图A：0~3 s；B：3~6 s；C：6~9 s。"

图5

试验组和对照组的TMJ振动时域图A：对照组；B：试验组；C：临床无弹响的ADDWR关节。"

图6

试验组和对照组峰幅值蓝色为试验组；红色为对照组。"

表 2

ADDWR组和对照组的峰幅值比较"

组别MQUQLP值
对照组0.044 30.072 60.034 20.000
试验组0.150 80.453 90.126 7

表 3

试验组和对照组频域参数比较"

振动能量/JADDWR组对照组P值
MQUQLMQUQL
Itotal2.830×10-48.129×10-49.309×10-58.153×10-51.916×10-44.243×10-50.000
I18.027×10-82.221×10-76.491×10-85.354×10-86.372×10-84.364×10-80.000
I22.829×10-48.127×10-49.302×10-58.147×10-51.916×10-44.236×10-50.000

表 4

临床可听弹响在不同运动时期的分布例数"

TMJ运动时期试验组（n=51）对照组（n=51）
开口期232
闭口期31
开闭口期均发生140
临床可听弹响总数400
仪器检测振动但临床无弹响数113
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