诊断性关节镜检查后颞下颌关节的退行性改变。一项在山羊身上的实验研究。

Degenerative changes in the temporomandibular joint after diagnostic arthroscopy. An experimental study in goats.

作者信息

Bjørnland T, Rørvik M, Haanaes H R, Teige J

机构信息

Department of Oral Surgery and Oral Medicine, Faculty of Dentistry, University of Oslo, Norway.

出版信息

Int J Oral Maxillofac Surg. 1994 Feb;23(1):41-5. doi: 10.1016/s0901-5027(05)80326-1.

DOI:10.1016/s0901-5027(05)80326-1

PMID:8163860

Abstract

Arthroscopic procedures for diagnosis and treatment of temporomandibular joint (TMJ) diseases are widely used. Few adverse effects of the procedures have been reported. In this in vivo study, diagnostic arthroscopy was performed in the left TMJ of seven castrated male goats, the right TMJ serving as a control. The goats were killed 1, 2, and 3 months after the arthroscopy. Macroscopic and microscopic examination revealed no apparent pathologic changes in two animals, minor changes in two, and severe degenerative changes in three. This study indicates that arthroscopic intervention in the TMJ may cause irreversible changes in the articular tissues.

摘要

关节镜检查用于颞下颌关节（TMJ）疾病的诊断和治疗已被广泛应用。关于该检查的不良反应报道较少。在这项体内研究中，对7只去势雄山羊的左侧颞下颌关节进行了诊断性关节镜检查，右侧颞下颌关节作为对照。在关节镜检查后1、2和3个月处死山羊。大体和显微镜检查显示，两只动物无明显病理变化，两只动物有轻微变化，三只动物有严重退行性变化。本研究表明，颞下颌关节的关节镜干预可能导致关节组织发生不可逆变化。