手法复位联合关节腔内注射药物治疗颞下颌关节盘不可复性移位的临床分析  

Clinical Analysis of Manual Reduction Combined with Intra-articular Drug Injection in the Treatment of Anterior Disc Displacement without Reduction

作　　者：卢晓华 陈告化 LU Xiaohua;CHEN Gaohua(Ganzhou Fifth People’s Hospital,Jiangxi Province,Ganzhou 341000,China;不详)

机构地区：[1]江西省赣州市第五人民医院,江西赣州341000

出　　处：《中国医学创新》2022年第17期26-29,共4页Medical Innovation of China

基　　金：赣州市科学技术局指导性科技计划项目(GZ2021ZSF268)。

摘　　要：目的:分析手法复位联合关节腔内注射药物对颞下颌关节盘不可复性移位(ADDWoR)的治疗效果。方法:选取2021年9-12月赣州市第五人民医院收治的62例颞下颌关节盘不可复性移位患者,根据治疗方法的不同分为对照组(n=32)和观察组(n=30)。对照组给予关节腔内注射药物治疗,观察组给予手法复位联合关节腔内注射药物治疗。比较两组疗效和治疗前后最大主动开口度(MMO)、视觉模拟评分法(VAS)评分、下颌功能限制评估量表(JFLS)评分、Fricton指数。结果:观察组治疗有效28例(93.3%),多于对照组的23例(71.9%)(P<0.05)。观察组治疗后MMO大于对照组,且治疗中、治疗后VAS评分均低于对照组,差异均有统计学意义(P<0.05)。观察组治疗后JFLS评分、Fricton指数均低于对照组(P<0.05)。结论:手法复位联合关节腔内注射药物治疗ADDWoR效果明显,可减轻患者的疼痛,增加MMO,缓解临床症状,并有效改善下颌功能。Objective:To analyze the therapeutic effect of manual reduction combined with intra-articular drug injection in the treatment of anterior disc displacement without reduction(ADDWoR).Method:A total of 62 patients with ADDWoR admitted to Ganzhou Fifth People’s Hospital from September to December 2021 were selected and divided into the control group(32 cases)and the observation group(30 cases)according to different treatment methods.The control group was treated with intra-articular drug injection,and the observation group was treated with manual reduction combined with intra-articular drug injection.The efficacy,maximum active mouth opening(MMO),visual analogue scale(VAS)score,jaw function limitation assessment scale(JFLS)score and Fricton index before and after treatment were compared between two groups.Result:In the observation group,28 cases(93.3%)were effective,which was more than 23 cases(71.9%)in the control group(P<0.05).The MMO of the observation group after treatment was higher than that of the control group,and the VAS scores during and after treatment were lower than those of the control group,the differences were statistically significant(P<0.05).The JFLS score and Fricton index in the observation group were lower than those in the control group(P<0.05).Conclusion:Manual reduction combined with intra-articular drug injection has a significant effect in the treatment of ADDWoR,which can reduce pain of patients,increase MMO,benefit mandibular reduction,and effectively improve mandibular function.

关 键 词：手法复位 关节腔内注射药物 颞下颌关节盘不可复性移位 

分 类 号：R782.6[医药卫生—口腔医学]