颞下颌关节镜下盘复位术后咬合关系恢复影响因素的探讨  

Factors influencing the recovery of occlusion after TMJ arthroscopic disc reposition and fixation

作　　者：王保利[1] 杨驰[1] 蔡协艺[1] 陈敏洁[1] 恽白[1] 彭艳[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院·口腔医学院口腔颌面外科,上海市口腔医学重点实验室,上海200011

出　　处：《中国口腔颌面外科杂志》2009年第3期206-208,共3页China Journal of Oral and Maxillofacial Surgery

基　　金：上海市重点(优势)学科建设项目(Y0203);上海市启明星后跟踪计划(06QH14009)~~

摘　　要：目的:探讨经颞下颌关节镜下盘复位固定术后患者咬合关系自行恢复的影响因素。方法:将243例行颞下颌关节镜下盘复位固定术的患者,按术后4周咬合关系能否自行恢复分为暂时错及长期错2组,采用SAS6.12软件包对2组患者的一般资料进行统计学分析,包括性别、年龄、手术侧、病程、ID分期、术前开口度以及术式7项。比较2组间的差异,探讨术后咬合关系恢复的可能影响因素。结果:2组患者的年龄及ID分期存在显著性差异(P<0.05),暂时错组患者较长期错组患者年龄偏大,ID分期也较高。其余统计指标之间无显著性差异。结论:对行颞下颌关节镜盘复位固定术的患者,年龄和ID分期可能是其术后咬合关系能否早期自行恢复的重要影响因素。PURPOSE： To evaluate the influencing factors of rehabilitation of occlusion after TMJ arthroscopic disc reposition and fixation. METHODS： 243 patients with 308 joints underwent TMJ arthroscopic disc reposition and fixation. According to their malocclusion that recovered in 28 days after operation, the patients were divided into 2 groups：temporary malocclusion group and lone-standing malocclusion group. The patient＇s age, gender, ID stage, the history of ID were compared statistically using SAS6.12 software package. RESULTS： There was significant difference in patient＇s age, ID stage between the two groups. The patients in long-standing malocclusion group were older and had more advanced ID stage than the patients in temporary malocclusion group. CONCLUSION： In patients with TMJ arthroscopic disc reposition and fixation, age and ID stage are the important factors that affect the recovery of occlusion.

关 键 词：颞下颌关节 关节盘移位 关节镜 盘复位固定术 错 

分 类 号：R782.6[医药卫生—口腔医学]