颞颌关节紊乱综合征的新疗法——关节内窥镜手术探讨  

CLINICAL INVESTIGATION ON ARTHROSCOPIC SURGERY: TREATMENT OF DISTURBANCES SYNDROME OF TMJ

作　　者：任材年[1] 曾融生[1] 沈强[1] 周燕武[1] 

机构地区：[1]中山医科大学口腔医疗中心,510055

出　　处：《口腔颌面外科杂志》1993年第4期197-199,共3页Journal of Oral and Maxillofacial Surgery

摘　　要：采用Stryker颞颌关节内窥镜对58例颞颌关节紊乱综合征患者进行关节内手术。随访6—40个月。根据手术前后患者颞颌关节区疼痛,杂音和下颌运动的变化情况评定疗效,分三级:优良、改善和无效。结果为优良者占27.6％,改善者占50.0％,无效者占22.4％,有效率(优良+改善)77.6％。术后患者张口度平均增加6.6mm(P<0.001)。作者认为颞颌关节内窥镜手术创伤小,对一些关节内病变,特别是关节内结构性紊乱,疗效良好,是一种很有价值的治疗手段。本文对内窥镜手术的机理,适应症,疗效及稳定性,并发症和手术操作等进行了讨论。Fifty-eight patients who had suffered from disturbances syndrome of TMJ unde(?)went surgical arthroscopies. Compared with preoperative symptoms, the postoperative pain, clicking and movement of the joints were evaluated with a follow-up for 6-40 months. The eurative effects were rated as follows: eure, improvement and failure which showed 16 cases(27.6%), 29 cases(50.0%) and 13 cases(22.4%) respectively. Postoperative MIO(maximum interiacisal opening) had increased averagely by 6.6 mm over preoperative MIO(p<0.001). We believed that arthroscopic surgery was effective in the tieatment of certain conditions involving TMJ internal derangement, such as reducing o(?) nonreducing disc displacement. The indication, stability of effect, complication and manipulation of the surgery were discussed.

关 键 词：颞颌关节紊乱 关节内窥镜术 

分 类 号：R782[医药卫生—口腔医学]