封闭注射治疗翼外肌痉挛的疗效观察  

Efficacy of Injection Methods in the Treatment of Pterygoid Muscle Spasms

作　　者：贾梦莹 刘慧[1] 胡露露[1] 许颖捷 辜文妍 吴泽钰 龚忠诚[1] 

机构地区：[1]新疆医科大学第一附属医院颌面肿瘤外科,新疆乌鲁木齐830054 [2]新疆医科大学第一附属医院牙体牙髓病科,新疆乌鲁木齐830054

出　　处：《口腔医学研究》2018年第1期47-51,共5页Journal of Oral Science Research

基　　金：国家自然科学基金(编号:81760191)

摘　　要：目的:评价利多卡因、弥可保、得宝松以1∶1∶1混匀封闭注射治疗翼外肌痉挛的疗效。方法:收集翼外肌痉挛患者28例,并对其进行3次为一疗程的封闭治疗。分析治疗1个疗程前后患者的临床特征、疼痛VAS评分、下颌功能运动、Fricton颞下颌关节紊乱指数的变化。结果:第3次注射结束后与治疗前相比,翼外肌痉挛患者的疼痛VAS评分降低(P<0.05),张口度增加(P<0.05),侧方及前伸边缘运动增大(P<0.05)、Fricton颞下颌关节紊乱指数均减小(P<0.05)。结论:封闭注射治疗翼外肌痉挛有效。Objective：To evaluate the efficacy of injection methods（1∶1∶1 mixed of lidocaine,methotrexate,and dibandolone）in the treatment of pterygoid muscle spasms.Methods：Twenty-eight cases were diagnosed as pterygoid muscle spasms and treated with injection methods for three times.Assessments were carried out including the clinical features,VAS score,mandibular movement,and Fricton index.Results：A significant difference（P〈0.05）after three injections was found in the VAS score,mouth opening degree,laterality and protrusion movements,and Friction index compared with pre-treatment.Conclusion：It is suggested that the injection method might be an effective treatment for the pterygoid muscle spasms.

关 键 词：翼外肌 肌痉挛 封闭注射 

分 类 号：R782.6[医药卫生—口腔医学]