摘要
目的评价应用颞下颌关节内镜上腔灌洗术治疗颞下颌关节紊乱病患者的临床疗效。方法对保守治疗无效的26例临床表现为张口受限合并关节疼痛的颞下颌关节紊乱病患者行颞下颌关节镜上腔灌洗术,分析治疗前后不同时期患者的疼痛值(疼痛直观模拟标尺VAS)、张口度的变化,并通过MRI检测治疗前后关节盘位置的变化。结果治疗后张口度≥35mm的患者占88.5%(23/26),不同时期的张口度均较治疗前有显著差异(P<0.01),特别在治疗后1个月内增加明显,疼痛亦有显著缓解(P<0.01),所有病例均无并发症发生。MRI显示有4例患者的关节盘部分复位。结论颞下颌关节内镜下的上腔灌洗术直视下操作准确,能有效治疗颞下颌关节紊乱病,明显改善张口度和缓解疼痛。颞下颌关节镜治疗技术安全有效,有临床推广应用价值。
[ Objective ] To evaluate the clinical efficacy of the temporomandibular joint （TMJ） arthroscopy and lavage as the treatment for temporomandibular disorders （TMD）. [ Methods ] Twenty-six patients with limited mouth opening caused by TMDs were treated by TMJ arthroscopy and lavage. Clinical data including pain and mandibular motion were collected and then analyzed. MRI was used to evaluate disc position in the patients. [Results] The mandibular motion of 88.50/0 （23/26） patients had increased significantly （P 〈0.001） at different period of time, especially within 1 month. Jaw pain was also significantly relieved （P 〈0.001）. MRI revealed partially reposited disc in 4 patients. [ Conclusions ] TMJ arthroscopy and lavage are effective in reducing pain and increasing mandibular motion in patients with TMDs, especially in patients with symptoms less than 6 months. It is recommended as a simple alternative to more invasive TMJ procedures.
出处
《中国内镜杂志》
CSCD
北大核心
2009年第10期1097-1100,共4页
China Journal of Endoscopy
关键词
颞下颌关节紊乱病
磁共振
关节镜
关节镜灌洗术
temporomandibular disorder
, magnetic resonance imaging
arthroseope
arthroscopy and lavage
