关节穿刺术治疗颞下颌关节内紊乱症。
Arthrocentesis for the treatment of internal derangement of the temporomandibular joint.
作者信息
Neeli Arati S, Umarani Meenaxi, Kotrashetti S M, Baliga Shridhar
机构信息
Department of Oral and Maxillofacial Surgery, K.L.E VK Institute of Dental Sciences, Belgaum, India.
出版信息
J Maxillofac Oral Surg. 2010 Dec;9(4):350-4. doi: 10.1007/s12663-010-0155-z. Epub 2011 Feb 17.
Abstract
OBJECTIVE
The study aims to evaluate the efficacy of arthrocentesis in the treatment of internal derangement of the temporomandibular joint (TMJ).
STUDY DESIGN
Thirty patients with TMJ internal derangement underwent arthrocentesis using saline. Pain using visual analog scale, maximum mouth opening, joint noises and mandible deviation were documented pre-operatively and post-operatively. Patients were followed for 1 year. Statistical analysis of pain was done by Wilcoxon signed Rank's test and dysfunction by students paired t test.
RESULTS
The mean pre-operative pain was 4.8 ± 2.65 and post-operatively at 1 year was 0.27 ± 0.45 with an average decrease of 4.72 (P = 0.000). The mean maximal mouth opening pre-operatively was 29.8 ± 2.35 mm and post-operatively 41.9 ± 2.48 mm at 1 year. The mean increase in the mouth opening was 12.1 ± 3.0 mm (P = 0.000).
CONCLUSION
Arthrocentesis is simple, minimally invasive procedure with less risk of complications and significant benefits in patients with TMJ internal derangement.
摘要
目的
本研究旨在评估关节穿刺术治疗颞下颌关节内紊乱（TMJ）的疗效。
研究设计
30例颞下颌关节内紊乱患者接受了生理盐水关节穿刺术。术前和术后记录使用视觉模拟量表的疼痛程度、最大开口度、关节弹响和下颌偏斜情况。对患者进行了1年的随访。采用Wilcoxon符号秩检验对疼痛进行统计学分析，采用学生配对t检验对功能障碍进行分析。
结果
术前平均疼痛评分为4.8±2.65，术后1年为0.27±0.45，平均下降4.72（P = 0.000）。术前平均最大开口度为29.8±2.35mm，术后1年为41.9±2.48mm。开口度平均增加12.1±3.0mm（P = 0.000）。
结论
关节穿刺术是一种简单、微创的手术，并发症风险较低，对颞下颌关节内紊乱患者有显著益处。
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1
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Oral Maxillofac Surg Clin North Am. 2006 Aug;18(3):311-28, vi. doi: 10.1016/j.coms.2006.03.005.
2
The relationship between temporomandibular joint synovitis and adhesions: pathogenic mechanisms and clinical implications for surgical management.颞下颌关节滑膜炎与粘连的关系：发病机制及手术治疗的临床意义
J Oral Maxillofac Surg. 2006 Jul;64(7):1066-74. doi: 10.1016/j.joms.2006.03.012.
3
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Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 Oct;100(4):409-14. doi: 10.1016/j.tripleo.2004.12.024.
4
Relationship between effectiveness of arthrocentesis under sufficient pressure and conditions of the temporomandibular joint.充分压力下关节穿刺术的有效性与颞下颌关节状况之间的关系
J Oral Maxillofac Surg. 2005 Feb;63(2):225-8. doi: 10.1016/j.joms.2004.06.053.
5
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6
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J Oral Maxillofac Surg. 2004 Mar;62(3):284-7; discussion 287-8. doi: 10.1016/j.joms.2003.08.012.
7
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J Oral Maxillofac Surg. 2003 Nov;61(11):1253-6. doi: 10.1016/s0278-2391(03)00724-9.
8
Five-year retrospective evaluation of temporomandibular joint arthrocentesis.颞下颌关节关节腔穿刺术的五年回顾性评估
Int J Oral Maxillofac Surg. 2003 Jun;32(3):263-7. doi: 10.1054/ijom.2003.0371.
9
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J Oral Maxillofac Surg. 2001 Oct;59(10):1154-9; discussion 1160. doi: 10.1053/joms.2001.26716.
10
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