期刊导航

论文摘要

颞下颌关节脱位手术治疗的回顾性研究

Retrospective study of temporomandibular joint dislocation by surgical treatment

作者:乔永明, 刘一鸣, 李锐, 龚建民, 何巍

Author:Yongming Qiao, Yiming Liu, Rui Li, Jianmin Gong, Wei He

收稿日期:2017-07-04          年卷(期)页码:2018,36(3):262-262-266

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:颞下颌关节脱位,手术治疗,回顾性研究,

Key words:temporomandibular joint dislocation,surgical treatment,retrospective study,

基金项目:河南省科技厅基金(142300410307);河南省卫生厅基金(2011020020);河南省教育厅基金(17A320054)

中文摘要

目的 回顾分析颞下颌关节脱位的手术治疗病例,评价其治疗效果。方法 选择2012年5月—2016年4月间收治的颞下颌关节脱位患者17例,包括陈旧性脱位(ID)8例和习惯性脱位(RD)9例。分别进行关节镜下滑膜下硬化剂注射术5例9侧,钛板植入关节结节增高术7例12侧,髂骨移植关节结节增高术1例1侧,Medpore植入关节结节增高术3例6侧,关节结节切除术1例2侧。术后1~5年随访,统计各手术方法的成功率。结果 关节镜下滑膜硬化术的治愈率为 77.8%(7/9),有效率100%;钛板植入关节结节增高术治愈率75%(9/12),有效率100%;Medpore植入关节结节增高术的治愈率为100%(6/6),髂骨移植关节结节增高术和关节结节切除术均治愈(1/1,2/2)。结论 应根据病情轻重来选择术式,对手术后复发者可选用Medpore植入关节结节增高术,该术式疗效确切,创伤相对较小、操作较简单。

英文摘要

ObjectiveThis study aimed to retrospectively analyze temporomandibular joint dislocation by surgical treat-ment and evaluate the treatment effect.MethodsFrom May 2012 to April 2016, a total of 17 cases of temporomandibular joint dislocation were surgically treated, including 8 cases of irreducible dislocation (ID) and 9 cases of recurrent dislocation (RD). Synovial injection of sclerosing agent by arthroscope was performed in 5 cases, 9 sides; augmentation of the articular eminence by titanium plate implantation was performed in 7 cases, 12 sides; iliac bone transplantation was performed in 1 case, 1 side; Medpore implantation was performed in 3 cases, 6 sides; and eminectomy and capsular tightening were performed in 1 case, 2 sides. Follow-up was conducted 1-5 years after the operation, and the success rate statistics was obtained.ResultsThe cure rate of synovial injection of sclerosing agent by arthroscope was 77.8% (7/9), and the effective rate was 100%. The cure rate of titanium plate implantation was 75% (9/12), and the effective rate was 100%. The cure rates of augmentation of the articular eminence by Medpore implantation (6/6), iliac bone graft (1/1), and eminectomy (2/2) were 100%.ConclusionThe surgical method of temporomandibular joint dislocation was selected according to the state of the patients. The postope-rative recurrent patients were advised to undergo augmentation of the articular eminence by Medpore implantation, which offered a reduced chance of recurrence and relatively less injury, as well as a simple operative method.

关闭

Copyright © 2020四川大学期刊社 版权所有.

地址:成都市一环路南一段24号

邮编:610065