术中CT在颞下颌关节强直疗效评价中的应用  

Application of intraoperative CT in the treatment of temporomandibular joint ankylosis

作　　者：马东洋 庞超远 张文凯 王兵武 刘娅丽 杨阳 MA Dong-yang;PANG Chao-yuan;ZHANG Wen-kai;WANG Bing-wu;LIU Ya-li;YANG Yang(Department of Oral and Maxillofacial Surgery,The 940th Hospital of Joint Logistics Support Force of PLA.Lanzhou 730050,Gansu Province,China)

机构地区：[1]联勤保障部队第九四〇医院口腔颌面外科,甘肃兰州730050

出　　处：《中国口腔颌面外科杂志》2020年第3期269-271,共3页China Journal of Oral and Maxillofacial Surgery

基　　金：全军医学科研计划面上项目资助(CWS12J066)

摘　　要：目的:探讨术中CT在颞下颌关节(temporomandibular joint,TMJ)强直手术治疗效果评价中的应用价值。方法:回顾分析2016年7月-2018年12月完成的4例颞下颌关节强直患者的临床资料,分析一般资料特点、强直类型、扫描时间、CT引导的术中修正及术后效果。结果:在术中CT的引导下,4例(5侧)颞下颌关节强直手术均顺利完成。术中CT平均耗时(10.2±3.3)min,3例进行了术中修正,修正率75%。所有患者术后创口愈合良好,开口度平均38.8 mm,患者满意度100%。结论:术中CT提高了TMJ强直手术的精确性,保证了手术的安全性和可靠性。PURPOSE:To investigate the application and value of intraoperative CT in the treatment of temporomandibular joint(TMJ)ankylosis.METHODS:Four patients(5 sides)who underwent surgery of TMJ ankylosis using intraoperative CT from July 2016 to December 2018 were retrospectively studied.Demographics,surgical factors,and clinical outcomes were analysed.RESULTS:All 4 patients were successfully operated with the aid of intraoperative CT imaging and CT-directed revisions were made in three of them during surgery.The average time spent in scanning was(10.2±3.3)minutes.No surgical complications were noted and a good satisfaction rate(with an average mouth opening of 38.8 mm)was obtained.CONCLUSIONS:Intraoperative CT scanning is a useful tool in evaluation of the surgical results of TMJ ankylosis,and a real-time revision could be made.It increased precision and safety of the surgery of TMJ ankylosis.

关 键 词：术中CT 颞下颌关节 颞下颌关节强直 

分 类 号：R782.6[医药卫生—口腔医学]