【文献解读】颞下颌关节内部紊乱：附加类固醇的关节腔灌洗术的作用

【文献解读】颞下颌关节内部紊乱：附加类固醇的关节腔灌洗术的作用
2017/11/3 创新医学网

     文章来源：欧尔意 OAE 微信号

     作者：Sofina

     01

     原文出处

     Malik AH. Internal derangement of temporomandibular joint: role of arthocentesis with steriod. Plast Aesthet Res 2014;1:29-32.

     DOI: 10.4103/2347-9264.135547

     02

     摘要

     目的：本研究的目的是比较单纯关节腔灌洗术与关节腔灌洗术后腔内注射类固醇治疗颞下颌关节(TMJ)内部紊乱的疗效。方法：研究纳入男性9例，女性11例，年龄17?39岁。患者主诉开口受限和TMJ疼痛。在无菌条件下进行颞下颌关节腔灌洗。所有患者在手术前、术后1周和6个月进行临床评估。在每次随访中记录了TMJ疼痛程度和最大开口度。结果：两组术后口腔开口均明显改善，术后疼痛评分下降; 然而，添加类固醇并没有改善手术的整体结果。结论：关节腔灌洗术是一种简单安全的手术，适用于具有关节闭锁的TMJ内部紊乱患者。然而，通过添加类固醇没有进一步改善结果。

     关键词：关节腔灌洗术，内部紊乱，类固醇，颞下颌关节

     Aim:The aim of this study was to compare the efficacy of arthrocentesis with arthrocentesis plus steroid in the treatment of temporomandibular joint (TMJ) internal derangements. Methods:Nine males and 11 females aged 17-39 years were enrolled in the study. The patients were complaining of limited mouth opening and TMJ pain. Arthrocentesis was performed under aseptic conditions. All patients were clinically evaluated before the procedure, and 1 week and 6 months after the procedure. Intensity of TMJ pain and maximal mouth opening was recorded at each follow-up visit. Results: Both groups showed significant improvement in mouth opening and a reduction in pain scores in the postoperative period; however, the addition of steroid did not improve the overall outcome of the procedure. Conclusion:Arthrocentesis is a simple and safe procedure for patients with internal derangement of the TMJ with closed lock. However, the outcome was not improved by the addition of steroid.

     Keywords:Arthrocentesis, internal derangement, steroid, temporomandibular joint

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