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关节镜下松解灌洗及髁突切除术治疗颞下颌关节后的断层扫描变化

Tomographic changes in the temporomandibular joint following arthroscopic surgery with lysis and lavage and eminentia release.

作者信息

Moses J J, Lo H H, Lee J, Topper D C

机构信息

Pacific Clinical Research Foundation, Encinitas, California 92024, USA.

出版信息

J Orofac Pain. 1994 Fall;8(4):407-12.

PMID:7670430
Abstract

Seventy-one patients (128 joints) who underwent temporomandibular arthroscopies with lysis and lavage, capsular stretch, and release of adhesions and lateral capsular fibrosis were followed for an average of 24 months. Prearthroscopic and postarthroscopic temporomandibular joint tomograms were compared; 77.3% of the temporomandibular joints showed no postoperative changes, and 22.7% of the temporomandibular joints studied showed changes. The majority of these tomographic changes involved increase in condylar flattening and beaking. However, postoperative painful symptoms significantly decreased regardless of the radiographic findings.

摘要

71例患者(128个关节)接受了颞下颌关节镜下松解灌洗、关节囊扩张以及粘连松解和外侧关节囊纤维化松解术,并进行了平均24个月的随访。比较了关节镜检查前后的颞下颌关节断层扫描图像;77.3%的颞下颌关节术后无变化,22.7%的受检颞下颌关节出现了变化。这些断层扫描变化大多涉及髁突扁平度增加和喙突形成。然而,无论影像学检查结果如何,术后疼痛症状均显著减轻。

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