改良皮囊作间充物治疗颞下颌关节内强直41例  

The reformed auto-skin bag in the arthroplasty of TMJ

作　　者：何巍[1] 龚建民[1] 何伟[1] 李新明[1] 刘学杰[1] 崔文光[1] 姜国城[1] 栗清朝 

机构地区：[1]郑州大学第一附属医院口腔颌面外科,郑州450052 [2]登封市人民医院口腔科,登封452400

出　　处：《郑州大学学报（医学版）》2002年第1期95-96,共2页Journal of Zhengzhou University(Medical Sciences)

摘　　要：目的;介绍一种手术治疗颞下颌关节内强直(temporomandibular joint ankylosis,TMJA)的改进方法。方法:1987年至1999年间共收治76例TMJA患者中,采用改良自体皮囊作为假关节内填充物。结果:41例采用自体皮囊作为间充物以形成假关节,仅有1例复发,复发率为2.44%。选用其他填充物材料治疗35例,8例复发,复发率为22.79%。2组比较差异有显著性(P＜0.05)。结论:采用改良自体皮囊作间充物治疗TMJA效果好,方法简单,复发率低。Aim: To introduce a reformed surgical procedure performed in the arthroplasty of TMJ for treating TMJA. Methods: We compard two surqicnl approaches retrospectively by summarizing 76 patients of TMJA from 1987 to 1999. Results: Fourty one cases of TMJA were performed by using the reformed auto-skin bag as insert in the arthroplasty of TMJ. Only one case (1/41,2.44%) celapsed after treatmant. Other 35 cases were treated by the conventional inserts in the arthroplasty of TMJ, 8 cases were recurrent (22.79%) ( P < 0.05) .Conclusion: The approach bu using re-formed auto-skin bag as insert for curing TMJA is an effective and useful operativon method in the arthroplasty.

关 键 词：改良皮囊 间充物 颞下颌关节内强直 颞下颌关节成形术 

分 类 号：R782.6[医药卫生—口腔医学]