摘要
目的本研究通过造影操作同时完成对患者的治疗工作，提出"关节造影介入治疗"的概念.方法随机选择TMD行关节造影检查的30例病人。其中滑膜炎表现并经关节造影诊断为不可复性盘前移位者16例；临床上仅有开口受限或明显开口偏斜，经关节造影诊断为不可复性盘前移者12例；可复性盘前移2例。所有病人按常规操作方法进行关节上腔造影后进行患侧关节造影体层摄影闭、开口位检查。然后使用生理盐水进行关节上腔冲洗。冲洗后依据病人情况于关节腔内注射HA或强的松龙。注入药物后，再拍摄关节侧位体层闭、开口位片.在关节侧位体层片测量踝突动度并比较探突动度的改变结果不可复关节盘前移位组开口度及踝突动度均有明显增加，16例伴有滑膜炎的病人疼痛症状均减轻结论关节造影┅ぉぉ介入治疗可明显减轻关节疼痛，增加开口度及像突动度；因此关节造影-介入治疗是一种结合诊断与治疗为一体的新技术。
Objective This study was to perform arthrography and treatment simultaneously and put forward theconcept of the arthrogaphic - interventional treatment. Methods 30 patients(6 male and 24 female)with TMD who hadtaken arthrogam were chosen. 28 patients were disc anterior displacement without reduction, 16 of them were withsynovitis symptom of limited motion and pain of the TMJ region, 12 patients only with limited motior or openingdeviation,2 patients were dise anterior displacement with reduction. After taking arthrograms, arthrocentesis of uppercavity of the TMJ was performed with physiological saline. On the arthrograms, mobility was measured andcompared. Results Both the range of opening and condylar movement were inereased obviously in all the patients withirreducible anterior dise displacement. The joint pain of all the 16 patients with synovitis was relieved. ConclusionArthrographic- interventional treatment could relieve pain of TMD, and increase condyle mobility. It is a new techniquecombining diagnosis with treatment.
出处
《现代口腔医学杂志》
CAS
CSCD
1999年第1期18-20,共3页
Journal of Modern Stomatology
关键词
关节造影
颞下颌关节紊乱
介入疗法
Arthrography Interventional treatment Temporomandibular disorder Dise displacement
