MDT诊疗模式在颞下颌关节盘不可复性盘前移位中的治疗效果

  目的   探讨多学科诊疗团队（multidisciplinary team，MDT）诊疗模式在颞下颌关节盘不可复性盘前移位的治疗效果。  方法   选取云南大学附属医院2018年9月至2021年3月收治的60例颞下颌关节不可复性盘前移位患者，随机分为MDT组和非MDT组。MDT组给予MDT诊疗模式；非MDT组给予常规诊疗模式。比较2组患者临床相关指标、治疗前后心理状况、近期临床疗效及患者满意率。  结果   MDT组治疗前等待时间及平均住院时间均低于非MDT组（P < 0.05）；MDT组近期疗效总有效率为96.67%，高于非MDT组的90.00%（P < 0.05）；MDT组患者满意率为96.66%，高于非MDT组的86.67%（P < 0.05）。  结论   颞下颌关节紊乱病MDT团队诊疗模式，能为颞下颌关节不可复性盘前移位患者提供与病情相适应的最佳治疗，更好的保障患者围手术期安全。同时可以缩短医疗周期，提高疗效。

Effect of MDT Model in the Treatment of Anterior Displacement of Irreducible Disc of Temporomandibular Joint

  Objective   To explore the effect of multidisciplinary team （MDT） in the treatment of irreducible anterior displacement of temporomandibular joint disc.  Methods   60 patients with irreducible anterior disc displacement of tempor omandibular joint treated in The Affiliated Hospital of Yunnan University from September 2018 to March 2021 were randomly divided into MDT group and non-MDT group. MDT group received MDT diagnosis and treatment model; The non-MDT group received routine treatment. Clinical indicators, psychological status before and after treatment, shart-term clinical efficacy and satisfaction rate of patients in 2 groups were compared.   Results   The waiting time and average hospital stay in MDT group were lower than those in non-MDT group （P < 0.05）.The total effective rate of MDT was 96.67%, which was higher than 90.00% in non-MDT group. The satisfaction rate of patients in MDT group was 96.66%, which was higher than 86.67% in non-MDT group （P < 0.05）.   Conclusion   The MDT team diagnosis and treatment model for temporomandibular joint disorders can provide the best treatment appropriate to the condition of patients with irreversible anterior displacement of TMJ, and better guarantee the perioperative safety of patients. At the same time, it can shorten the medical cycle and improve the curative effect.