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颞下颌关节注射技术的证据与方向更新:一项原发性研究的快速综述

Update on Evidence and Directions in Temporomandibular Joint Injection Techniques: A Rapid Review of Primary Research.

作者信息

Lubecka Karolina, Chęcińska Kamila, Bliźniak Filip, Chęciński Maciej, Turosz Natalia, Rąpalska Iwona, Michcik Adam, Chlubek Dariusz, Sikora Maciej

机构信息

Department of Oral Surgery, Preventive Medicine Center, Komorowskiego 12, 30-106 Kraków, Poland.

Department of Glass Technology and Amorphous Coatings, Faculty of Materials Science and Ceramics, AGH University of Science and Technology, Mickiewicza 30, 30-059 Kraków, Poland.

出版信息

J Clin Med. 2024 Jul 10;13(14):4022. doi: 10.3390/jcm13144022.

Abstract

This rapid review summarizes the latest primary research in temporomandibular joint (TMJ) injection treatment. The final literature searches were conducted on 4 January 2024. Selection was performed systematically following predefined eligibility criteria. Randomized control trials concerning the treatment of TMJ disorders with intra-articular injections were included. Studies on more invasive interventions were excluded. Quality of life, joint pain and range of mandibular mobility were assessed. Ultimately, 12 studies covering a total of 603 patients qualified. They concerned: (1) arthrocentesis (AC) and the administration of, (2) injectable platelet-rich fibrin (I-PRF), (3) platelet-rich plasma (PRP), (4) hyaluronic acid (HA), (5) non-steroidal anti-inflammatory drugs (NSAIDs), and (6) hypertonic dextrose (HD) with a local anesthetic. The dominant approach was to perform arthrocentesis before administering the appropriate injection substance (I-PRF, PRP, HA, or NSAID). Two current studies on the intra-articular administration of NSAIDs, specifically tenoxicam and piroxicam, are noteworthy. A mixture of PRP and HA was injected in another two trials. These two innovative approaches may prove to be significant directions for further research on injection treatment of TMJs.

摘要

本快速综述总结了颞下颌关节(TMJ)注射治疗的最新基础研究。最终文献检索于2024年1月4日进行。根据预先确定的纳入标准进行系统筛选。纳入了关于关节内注射治疗颞下颌关节紊乱病的随机对照试验。排除了关于更具侵入性干预措施的研究。评估了生活质量、关节疼痛和下颌活动度。最终,12项研究符合要求,共涉及603例患者。这些研究涉及:(1)关节穿刺术(AC)及注射,(2)可注射富血小板纤维蛋白(I-PRF),(3)富血小板血浆(PRP),(4)透明质酸(HA),(5)非甾体抗炎药(NSAIDs),以及(6)与局部麻醉剂联用的高渗葡萄糖(HD)。主要方法是在注射适当的物质(I-PRF、PRP、HA或NSAIDs)之前先进行关节穿刺术。目前有两项关于关节内注射NSAIDs(具体为替诺昔康和吡罗昔康)的研究值得关注。在另外两项试验中注射了PRP和HA的混合物。这两种创新方法可能被证明是颞下颌关节注射治疗进一步研究的重要方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84bd/11277300/4a28618c0c96/jcm-13-04022-g001.jpg

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