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本文引用的文献

1
A Comparative Study to Evaluate the Anesthetic Efficacy of Buffered Versus Non-buffered 2% Lidocaine During Inferior Alveolar Nerve Block.一项比较研究，旨在评估在下牙槽神经阻滞中使用缓冲与未缓冲的2%利多卡因的麻醉效果。
Cureus. 2022 Nov 24;14(11):e31855. doi: 10.7759/cureus.31855. eCollection 2022 Nov.
2
Does arthroscopy cause more complications than arthrocentesis in patients with internal temporomandibular joint disorders? Systematic review and meta-analysis.关节镜检查是否比关节穿刺术在患有颞下颌关节内部紊乱的患者中引起更多的并发症？系统评价和荟萃分析。
Br J Oral Maxillofac Surg. 2021 Dec;59(10):1166-1173. doi: 10.1016/j.bjoms.2021.05.007. Epub 2021 May 15.
3
The hierarchy of different treatments for arthrogenous temporomandibular disorders: A network meta-analysis of randomized clinical trials.不同治疗方法治疗颞下颌关节紊乱病的等级：一项随机临床试验的网络荟萃分析。
J Craniomaxillofac Surg. 2020 Jan;48(1):9-23. doi: 10.1016/j.jcms.2019.10.004. Epub 2019 Nov 5.
4
Arthrocentesis of Temporomandibular Joint- Bridging the Gap Between Non-Surgical and Surgical Treatment.颞下颌关节穿刺术——弥合非手术治疗与手术治疗之间的差距
Ann Maxillofac Surg. 2019 Jan-Jun;9(1):158-167. doi: 10.4103/ams.ams_160_17.
5
Complications and post-operative sequelae of temporomandibular joint arthrocentesis.颞下颌关节关节腔穿刺术的并发症及术后后遗症
Cranio. 2018 Jul;36(4):264-267. doi: 10.1080/08869634.2017.1341138. Epub 2017 Jun 15.
6
The current role and the future of minimally invasive temporomandibular joint surgery.微创颞下颌关节手术的当前作用及未来发展
Oral Maxillofac Surg Clin North Am. 2015 Feb;27(1):69-84. doi: 10.1016/j.coms.2014.09.006.
7
Technological advances in minimally invasive TMJ surgery.颞下颌关节微创手术的技术进展。
Dent Clin North Am. 2011 Jul;55(3):635-40, xi. doi: 10.1016/j.cden.2011.03.001.

颞下颌关节紊乱病治疗中微创方法的研究

Investigating of Minimally Invasive Approaches in the Treatment of Temporomandibular Joint Disorders.

作者信息

Kumar Sachin, Punga Rohit, Bhagat Nitin, Sharma Rohit, Adurti Aparajita, Das Subhajit, Makkad Ramanpal S

机构信息

Department of Oral and Maxillofacial Surgery, School of Dental Sciences, Sharda University, Greater Noida, Uttar Pradesh, India.

Department of Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Sakri Bilaspur, Chhattisgarh, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2782-S2784. doi: 10.4103/jpbs.jpbs_414_24. Epub 2024 Jun 7.

DOI:10.4103/jpbs.jpbs_414_24
PMID:39346163
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11426821/
Abstract

BACKGROUND

Minimal intrusive TMJ operations have been recommended as a substitute for conservative therapy when conservative measures fail to relieve significant acute pain, chronic discomfort, inflammation, and/or degenerative illness, specifically in TMD cases.

AIM

This study was conducted to investigate minimally invasive approaches (TMJ arthrocentesis and TMJ arthroscopy) in the treatment of temporomandibular joint (TMJ) disorders.

METHODS AND MATERIALS

It was a prospective study which included 30 clinically and radiographically diagnosed cases of TMDs. The study participants underwent two main therapy was carried out: TMJ arthrocentesis and TMJ arthroscopy. There was assessment of pain through VAS scale and maximum mouth opening (MMO) 1 month preoperatively as well as 3 months postoperatively.

RESULTS

There was statistically significant decrease in mean VAS score and increase in MMO in patients treated with TMJ arthrocentesis and TMJ arthroscopy. When there is comparison between TMJ arthrocentesis and TMJ arthroscopy, then there was more reduction in pain and increase in MMO in TMJ arthroscopy; however, the difference was non-significant statistically at both preoperative and postoperative situations.

CONCLUSION

Minimally invasive approaches like TMJ arthrocentesis and TMJ arthroscopy can be useful in the treatment of TMJ disorders.

摘要

背景

当保守治疗措施无法缓解严重的急性疼痛、慢性不适、炎症和/或退行性疾病时，尤其是在颞下颌关节紊乱病（TMD）病例中，推荐采用微创颞下颌关节手术作为保守治疗的替代方法。

目的

本研究旨在探讨微创方法（颞下颌关节穿刺术和颞下颌关节镜检查）在治疗颞下颌关节（TMJ）疾病中的应用。

方法和材料

这是一项前瞻性研究，纳入了30例经临床和影像学诊断的TMD病例。研究参与者接受了两种主要治疗：颞下颌关节穿刺术和颞下颌关节镜检查。术前1个月及术后3个月通过视觉模拟评分法（VAS）评估疼痛，并测量最大开口度（MMO）。

结果

接受颞下颌关节穿刺术和颞下颌关节镜检查的患者，其平均VAS评分有统计学意义的下降，MMO增加。当比较颞下颌关节穿刺术和颞下颌关节镜检查时，颞下颌关节镜检查的疼痛减轻更多，MMO增加更多；然而，在术前和术后两种情况下，差异均无统计学意义。

结论

颞下颌关节穿刺术和颞下颌关节镜检查等微创方法可用于治疗TMJ疾病。