颞下颌关节内紊乱的关节穿刺术：一项前瞻性研究。
Arthrocentesis in TMJ Internal Derangement: A Prospective Study.
作者信息
Kuruvilla V E, Prasad K
机构信息
PSM College of Dental Science, Akkikkavu PO, Thrissur DT, 680519 India.
出版信息
J Maxillofac Oral Surg. 2012 Mar;11(1):53-6. doi: 10.1007/s12663-011-0288-8. Epub 2011 Sep 20.
Abstract
OBJECTIVES OF THE STUDY
To evaluate improvement in symptoms following arthrocentesis: Pain, Maximum Mouth Opening, Clicking/Crepitation.
METHOD
Eleven patients who reported to the department of Oral and Maxillofacial Surgery, M S Ramaiah Dental College, Bangalore clinically diagnosed to have Internal Derangement of the TMJ underwent Arthrocentesis. Patients were evaluated at the end of 1 week, 1 and 3 months and results tabulated.
RESULTS
11 patients with clinically diagnosed Internal Derangement underwent Arthrocentesis and were followed up for 3 months. There was significant improvement in Pain, Maximum Mouth Opening and Clicking/Crepitation. All the results were statistically significant. There was no serious post operative complication.
CONCLUSION
Arthrocentesis can be recommended as a simple chair-side procedure for the treatment of TMJ Internal Derangement refractory to conservative management.
摘要
研究目的
评估关节穿刺术后症状的改善情况，包括疼痛、最大开口度、弹响/摩擦音。
方法
11名前往班加罗尔MS拉马亚牙科学院口腔颌面外科就诊的患者，经临床诊断为颞下颌关节内紊乱，接受了关节穿刺术。在1周、1个月和3个月结束时对患者进行评估，并将结果制成表格。
结果
11名临床诊断为颞下颌关节内紊乱的患者接受了关节穿刺术，并随访3个月。疼痛、最大开口度和弹响/摩擦音均有显著改善。所有结果均具有统计学意义。未出现严重的术后并发症。
结论
关节穿刺术可作为一种简单的椅旁操作，推荐用于治疗保守治疗无效的颞下颌关节内紊乱。
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