摘要
目的探讨借助关节镜采用微创的方法治疗陈旧性颞下颌关节脱位的临床价值。方法对2007年3月至2011年5月在中国医科大学口腔医学院口腔颌面外科手术治疗的19例陈旧性颞下颌关节脱位患者,按就诊顺序随机分为A、B两组,A组(10例)采用关节镜辅助微创手术治疗,B组(9例)采用传统的开放性手术治疗。通过术后随访及问卷调查来评价关节镜在治疗陈旧性颞下颌关节脱位的应用价值。结果经过术后6个月至2年的随访发现,两组患者在面瘫、颞下颌关节紊乱病(TMD)的发生率以及创口预后满意度和疼痛程度方面差异有统计学意义(P<0.05),在复发方面差异无统计学意义(P>0.05);关节镜辅助治疗组术后满意度高于传统手术组,而并发症远远低于传统手术组。结论关节镜辅助治疗陈旧性颞下颌关节脱位的方法安全可行。因其创伤小,并发症少,更适用于高龄患者。
Objective To evaluate the clinical value of the treatment for chronic temporomandibular joint dislocation by arthroscope. Methods Totally 19 patients who suffered from chronic temporomandibular joint dislocation were divided into two groups randomly from March 2007 to May 2011 ： 10 patients in group A were treated by arthroscope and 9 patients in group B were treated with orthodox open operation. Finally the applied value of arthroscope would be evaluated by the follow-up and questionnaires. Results The postoperative satisfaction of group A exceeded group B, but the complications were fewer（P〈 0.05）from 6 mounths＇ to 2 years＇ follow-uplThe recurrence rate didn＇t have statistical significance （P 〉 0.05）.Conclusions The treatment for chronic temporomandibular joint dislocation by arthroscope is safe and minimally invasive , so it is more suitable for the elderly.
出处
《中国实用口腔科杂志》
CAS
2011年第12期743-744,共2页
Chinese Journal of Practical Stomatology
基金
辽宁省自然科学基金(20072087)
关键词
颞下颌关节脱位
关节镜
手术治疗
temporomandibular joint dislocation
arthroscope
surgical treatment
