垫及关节灌洗术治疗颞下颌关节盘不可复性前移位的临床分析  

Clinical analysis of Splint and arthrocentesis of TMJ in the treatment of anterior disc displacement without reduction

作　　者：解建立[1] 汲平[2] 王梁[3] 

机构地区：[1]山东大学口腔医学院修复科 [2]山东大学口腔医院修复科,主任教授山东250012 [3]浙江省宁波市第二医院,医师浙江315010

出　　处：《口腔颌面修复学杂志》2007年第2期148-150,共3页Chinese Journal of Prosthodontics

摘　　要：目的:对不可复性关节盘前移位的不同治疗方法进行临床分析和总结,进一步探索合理的治疗不可复性关节盘前移位的方法。方法:将48例不可复性关节盘前移位的关节病患者分成3组,即垫治疗组、关节灌洗组、关节灌洗术联合垫治疗组。将3种治疗方法对不可复性关节盘前移位治疗前后的疼痛指数、最大开口度进行统计分析,比较3种治疗方法的临床疗效。结果:疼痛指数:3组患者治疗前后疼痛指数的改变值,垫治疗组<关节灌洗组<关节灌洗术联合垫治疗组(P<0.05),关节灌洗组与关节灌洗术联合垫治疗组治疗前后开口度的改善度,差异无显著性,但均优于垫治疗组(P<0.05)。结论:对不可复性关节盘前移位的治疗,关节灌洗术联合垫治疗的临床疗效优于垫治疗或关节灌洗术,同时,关节灌洗术的临床疗效显效方面优于垫。Objective： To analyze and summarize the clinical curative effects of different methods, and try to explore reasonable therapeutic method of anterior disc displacement without reduction. Methods： 48 patients were divided into 3 groups＇splint treatment group/arthrocentesis group/splint combined with arthrocentesis group. The pain index and maximal mouth opening of each group both before and after treatment were measured and statistically analyzed, Then the curative effects of the three methods were compared. Results： The changes of pain index of the three groups were significantly different （P〈0,05） and the order was： splint treatment group 〈 arthrocentesis group 〈 splint combined with arthrocentesis group, The change of maximal mouth opening of splint treatment group was significantly lower than that of arthrocentesis group and the combined group （P〈0.05）, no significant diffrence was found between the last two groups. Conclusion： The curative effect of splint and arthrocentesis united group is better than splint treatment and arthrocentesis, meanwhile, wrative effect of arthrocentesis is better than that of splint treatment.

关 键 词：颞下颌关节 颞下颌关节紊乱病 不可复性关节盘前移位 关节上腔灌洗术 [牙合]垫 联合治疗 

分 类 号：R782.6[医药卫生—口腔医学]