超声引导下与常规关节腔穿刺术治疗颞下颌关节紊乱病的比较：系统评价和荟萃分析。
Ultrasound-guided vs conventional arthrocentesis for management of temporomandibular joint disorders: A systematic review and meta-analysis.
机构信息
Department of Stomatology, Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang P.R. China.
Department of Implant Dentistry, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai, P.R. China.
出版信息
Cranio. 2023 May;41(3):264-273. doi: 10.1080/08869634.2020.1829870. Epub 2020 Oct 12.
OBJECTIVE
This systematic review and meta-analysis aimed to compare outcomes between ultrasound (US)-guided arthrocentesis and conventional arthrocentesis for the management of temporomandibular joint disorders (TMDs).
METHODS
PubMed, Embase, Scopus, BioMed Central, CENTRAL, and Google scholar databases were searched up to April 1 2020 for randomized control trials (RCTs) comparing US-guided and conventional arthrocentesis.
RESULTS
Four RCTs were included. Pooled analysis did not demonstrate any statistically significant difference in pain or maximal mouth opening (MMO) scores after 1 week and 1 month of follow-up between US-guided and conventional arthrocentesis. Studies also reported data on intra-operative needle relocations and operating time but with conflicting results.
CONCLUSION
This study indicates that the use of US during arthrocentesis may not improve postoperative pain and MMO in the short term. Data on intra-operative outcomes are scarce and conflicting for any definitive conclusions. Further high-quality adequately powered RCTs are required to strengthen current evidence.
目的
本系统评价和荟萃分析旨在比较超声（US）引导下关节腔穿刺术与传统关节腔穿刺术治疗颞下颌关节紊乱（TMD）的疗效。
方法
检索 PubMed、Embase、Scopus、BioMed Central、CENTRAL 和 Google Scholar 数据库，截至 2020 年 4 月 1 日，纳入比较 US 引导下和传统关节腔穿刺术的随机对照试验（RCT）。
结果
纳入 4 项 RCT。荟萃分析显示，US 引导下和传统关节腔穿刺术后 1 周和 1 个月，疼痛或最大张口度（MMO）评分无统计学差异。研究还报告了术中针重新定位和手术时间的数据，但结果存在矛盾。
结论
本研究表明，关节腔穿刺术中使用 US 可能不能改善术后短期疼痛和 MMO。术中结局数据稀少，且存在矛盾，无法得出明确结论。需要进一步开展高质量、充分有力的 RCT 来加强现有证据。
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