颞下颌关节镜下关节盘复位固定术患者的围手术期护理  

Perioperative nursing care for arthroscopic disc repositioning and suturing technique for internal derangement of the temporomandibular joint

作　　者：任凌 李岩 

机构地区：[1]大连市口腔医院口腔颌面外科,辽宁大连116021

出　　处：《广东牙病防治》2013年第2期105-107,共3页Journal of Dental Prevention and Treatment

摘　　要：目的探讨颞下颌关节镜下行关节盘复位固定术患者的围手术期护理措施。方法总结13例(18侧)颞下颌关节镜下行关节盘复位固定术的围手术期护理经验。术前做好患者的心理护理,增加患者对手术的认知和信心,全面评估患者情况,做好术前准备。术中正确调试仪器,配合医生操作,稳定患者情绪。术后做好仪器保养、教会患者和家属如何进行功能训练,做好患者和家属的心理护理。结果 13例患者无感染及不可复性神经损伤等重大术后并发症。随访3～12个月,手术伤口均恢复良好,磁共振成像检查显示关节盘均复位良好。结论熟练掌握颞下颌关节镜下关节盘复位固定术的护理要点,同时注意围手术期的心理护理和术后功能训练对提高术后疗效有重要意义。Objective To study the perioperative nursing care for patients undergoing arthroscopic disc repositioningand suturing technique for internal derangement of the temporomandibular joint. Methods The periopera/ive nursing care in 13 patients （18 joints） with disc displacement without reduction undergoing the TMJ arthroscopic suturing from Oetober 2010 through March 2003 were summarized. Results None of the 13 patients was observed with major postoperalive Complications. A follow-up of 3 to 12 months showed that all the operative wound had a good recovery. Postoperative MRIs for all 13 palienls （ 18 joints） confirmed that disc repositioning and suturing were good. Conclusion It plays an vital role in posloperative effects in the patients to skillfully master tile nursing key points of arthroseopie disc repositioningand suluring technique combined with intensive perioperative psychological nursing, especially correct guidance in patients with postoperative rehabilitation training.

关 键 词：颞下颌关节 关节镜 关节盘复位固定术 护理 

分 类 号：R782.6[医药卫生—口腔医学]