摘要
目的研究透明质酸(hyaluronic acid,HA)关节腔注射及关节盘修补术临床治疗颞下颌关节盘穿孔的效果。方法随访分别采用透明质酸注射治疗的56例(76侧,HA组)及关节盘修补术治疗的40例(58侧,手术组)颞下颌关节盘穿孔患者,比较治疗前及治疗后3、9个月时最大开口度、疼痛及髁突骨质变化。结果两组患者治疗后3及9个月开口度均较治疗前显著增大,疼痛缓解,临床症状减轻,差异均有统计学意义(P<0.05)。HA组3个月复诊时髁突改建指数与手术组相比差异有统计学意义(P<0.05)。HA组(65.8%)和手术组(55.2%)患者髁突均有骨质修复性改建。结论透明质酸注射及关节盘修补术均能有效缓解关节盘穿孔患者的临床症状。
Objective To study the effect of hyaluronic acid（HA） intra-articular injection and articular disc repair in the treatment of temporomandibular joint disc perforation.Methods 56 cases of temporomandibular joint disc perforation patients treated by hyaluronic acid injection（76 sides,HA group） and 40 cases of temporomandibular joint disc perforation patients treated by articular disc repair（58 sides,surgery group） were followed up. Maximum opening degree,pain and osseous change of condylar process of the two groups before treatment,3 months and 9 months after treatment were compared. Results 3 and 9 months after treatment,mouth opening degree of patients in both groups increased significantly,their pain relieved and their clinical symptoms alleviated,compared with those before treatment,with statistically significant difference（P〈0. 05）.Condylar reconstruction index of HA group had statistically significant difference（P〈0. 05） with surgery group at the third-month subsequent visit. Patients in both HA group（65. 8%） and surgery group（55. 2%） had condylar reparative reconstruction.Conclusion Hyaluronic acid injection and articular disc repair both can effectively alleviate the clinical symptoms of patients with disc perforation.
出处
《四川医学》
CAS
2017年第2期189-191,共3页
Sichuan Medical Journal
关键词
颞下颌关节
关节盘穿孔
透明质酸
关节盘修补术
temporomandibular joint
articular disc perforation
hyaluronic acid
articular disc repair
