摘要
目的评判关节镜手术治疗复发性脱位患者远期疗效的稳定性。方法３０例患者的３４侧复发性脱位关节进行了３８例次关节镜手术（关节盘后区硬化疗法和关节盘缝合牵引固定术），其中４例次为重复关节镜手术，４例次为双侧同期手术。结果总疗效（随访期１个月～８年）：有效率９７％（３／３４）；治愈率８％（３０／３４）。其中，随访期２年以上的有２１例患者的２２侧受累关节，平均随访期４年（２～８年）。远期疗效：有效率９５％（２１／２２），治愈率８２％（１８／２２）。
Objective To evaluate long term effect of arthroscopic surgery on recurrent mandibular dislocation. Methods 30 patients with 34 involved temporomandibular joints (TMJs) (26 unilateral, 4 bilateral) were treated by arthroscopic subsynovial sclerotherapy with or without a discal traction suture. Of them, four patients with 4 TMJs were undergone repeat arthroscopic operations. In total, 38 operations were performed in 34 TMJs. After arthroscopic lysis, lavage, and manipulation, the subsynovial sclerotherapy was performed with 5% sodium morrhuate and was located at retrodiscal lamina. Suturings were taken simultaneously in 19 cases, others ( n =19) were not sutured.The total amount of 5% sodium morrhuate was from 0.4 to 1.2 ml, and the numbers of injection points were from 2 to 5, and the subsynovial depth of injection was not more than 5 mm. The follow up was from 1 mon to 8 years. Results The total success rate was 97% (33/34). There were 21 patients with 22 involved TMJs whose follow ups were more than 2 years. The mean follow up was 4 years (2～8 years). The long term success rate was 95% (21/22). There were no serious complications. Conclusion The long term effectiveness of arthroscopic sclerotherapy and suturing on recurrent mandibular dislocation is stable.
出处
《中华口腔医学杂志》
CAS
CSCD
北大核心
1999年第1期52-54,共3页
Chinese Journal of Stomatology
关键词
颞下颌关节脱位
关节镜
硬化疗法
Temporomandibular joint Dislocations Arthroscopy Sclerotherapy
