摘要
对18例患者的20侧颞颌关节盘移位进行了关节镜下盘复位及硬化疗法。盘移位诊断由体检、关节造影片、下颌运动轨迹图及诊断性关节镜等综合评判。根据手术前后的临床检查、信访问卷和关节造影片综合评判疗效。随访期34月(17~56月)。有效率80%(16/20)。本文着重介绍了关节盘复位方法及硬化剂注射方法,并详细分析了手术原理,对影响手术成败诸因素进行探讨。
TMJ arthroscopic lysis and disk reposition may result in unstable postoperative condition. Therefor, authors subsequently injected 5% sodium morrhuate into some points of retrodiscal tissue after disc reposition. The purpose of sclerotherapy forms a postoperative contracted scar in the retrodiscal tissue to prevent re displacement of the disc. 18 patients with 20 joints of ID were treated. The average follow up was 34 months (range 17~56 months). The success rate 80% (16/20). This paper introduced the goals of treatment and factors affected surgical success.
出处
《华西口腔医学杂志》
CAS
CSCD
北大核心
1996年第3期215-219,共5页
West China Journal of Stomatology
基金
上海市教委资助
关键词
颞颌关节
盘移位
颞颌关节镜
关节盘复位
TMJ\ \ discal displacement\ \ arthroscopy\ \ reduction\ \ sclerotherapy