颞下颌关节穿刺冲洗治疗闭口锁：一项随访研究。
Temporomandibular joint arthrocentesis and lavage for the treatment of closed lock: a follow-up study.
作者信息
Dimitroulis G, Dolwick M F, Martinez A
机构信息
Department of Oral & Maxillofacial Surgery, University of Florida, College of Dentistry, Gainesville, USA.
出版信息
Br J Oral Maxillofac Surg. 1995 Feb;33(1):23-6; discussion 26-7. doi: 10.1016/0266-4356(95)90081-0.
OBJECTIVES
Temporomandibular joint (TMJ) arthrocentesis and lavage, first described in the North American literature in 1991, is a simplified method used for the treatment of severe, limited mouth opening. The purpose of this study is to evaluate the efficacy of this technique as a treatment for closed lock of the TMJ.
DESIGN
Forty-six patients with persistent closed lock of the TMJ of acute onset were treated by TMJ arthrocentesis and lavage with manipulation in an out-patient setting. Clinical data was collected in the form of visual analogue scales for pain and chewing ability, and measurements of maximum mandibular opening before and after treatment.
RESULTS
On follow-up ranging from 6 to 30 months, jaw opening and mandibular function had significantly improved (p < 0.001), and pain had substantially decreased in all but one patient as a result of this procedure.
CONCLUSION
TMJ arthrocentesis and lavage is recommended as a simple alternative to more invasive TMJ procedures as an effective technique for the treatment of acute persistent closed lock of the TMJ.
目的
颞下颌关节（TMJ）关节穿刺冲洗术于1991年首次在北美文献中被描述，是一种用于治疗严重张口受限的简化方法。本研究的目的是评估该技术治疗颞下颌关节闭锁的疗效。
设计
46例急性起病的持续性颞下颌关节闭锁患者在门诊接受颞下颌关节穿刺冲洗及手法治疗。以疼痛和咀嚼能力的视觉模拟量表以及治疗前后最大张口度测量的形式收集临床数据。
结果
在6至30个月的随访中，除1例患者外，所有患者的张口度和下颌功能均有显著改善（p < 0.001），疼痛也明显减轻。
结论
推荐将颞下颌关节穿刺冲洗术作为一种简单的替代方法，以取代更具侵入性的颞下颌关节手术，作为治疗急性持续性颞下颌关节闭锁的有效技术。
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