治疗性颞下颌关节镜检查的临床结果：34例关节镜下盘前松解及盘后凝固术的前瞻性研究。

Clinical results of therapeutic temporomandibular joint arthroscopy: a prospective study of 34 arthroscopies with prediscal section and retrodiscal coagulation.

作者信息

Chossegros C, Cheynet F, Gola R, Pauzié F, Arnaud R, Blanc J L

机构信息

Department of Oral and Maxillofacial Surgery, Centre Hospitalier et Universitaire Timone, Marseille, France.

出版信息

Br J Oral Maxillofac Surg. 1996 Dec;34(6):504-7. doi: 10.1016/s0266-4356(96)90245-4.

DOI:10.1016/s0266-4356(96)90245-4

PMID:8971443

Abstract

Thirty-four therapeutic temporomandibular arthroscopies were done during a 24-month period for patients with debilitating joint disorders (mainly disc displacements with or without reduction) who had not responded to non-invasive treatment. Lysis and lavage with prediscal section and retrodiscal coagulation were the techniques used. Analysis of the results indicated subjective improvement of pain in 71% of cases, noise in 78%, jaw opening in 88% and diet in 97% and objective evidence of disappearance of noise in 29% and improvement of jaw opening in 94% (mean 9.24 mm). In jaw opening, improvement was highly significant, compared with the preoperative results, P < 0.01. We conclude that temporomandibular arthroscopy is safe and indicated in disc displacements and joint luxation if medical treatment has failed.

摘要

在24个月期间，对患有使人衰弱的关节疾病（主要是伴或不伴可复性的盘移位）且对非侵入性治疗无反应的患者进行了34例治疗性颞下颌关节镜检查。采用的技术是盘前松解、冲洗以及盘后凝固。结果分析表明，71%的病例疼痛主观改善，78%的病例弹响改善，88%的病例张口度改善，97%的病例饮食改善；29%的病例弹响客观消失，94%的病例张口度改善（平均改善9.24毫米）。与术前结果相比，张口度改善非常显著，P<0.01。我们得出结论，如果药物治疗失败，颞下颌关节镜检查对于盘移位和关节脱位是安全有效的。