| 化脓性颞下颌关节炎的内镜诊断和治疗 |
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| 引用本文： | 蔡协艺,杨驰,王保利,恽白. 化脓性颞下颌关节炎的内镜诊断和治疗[J]. 中国口腔颌面外科杂志, 2010, 8(3): 203-207 |
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| 作者姓名： | 蔡协艺 杨驰 王保利 恽白 |
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| 作者单位： | 上海交通大学医学院附属第九人民医院·口腔医学院,口腔颌面外科,上海市口腔医学重点实验室,上海,200011 |
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| 基金项目： | 上海市科学技术委员会资助项目(08DZ2271100); 上海市卫生局资助课题(2007008)~~ |
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| 摘 要： | 目的：探讨化脓性颞下颌关节炎内镜诊断和治疗的临床应用价值。方法：收集我院因化脓性颞下颌关节炎而行关节镜治疗的7例患者,对其临床表现、影像学特点、内镜下表现和治疗方法进行总结分析。结果：化脓性颞下颌关节炎的主要临床症状为关节区疼痛和开口困难;5例患者行磁共振成像,4例显示关节腔积液;2例患者行CT扫描,均显示关节周围间隙蜂窝织炎;7例患者均行内镜检查,2例急性期患者表现为滑膜肿胀和充血,5例慢性期患者主要表现为广泛黏连、软骨破坏和骨质缺损,3例患者关节盘穿孔,2例被诊断为纤维性强直。化脓性颞下颌关节炎内镜治疗方法主要为灌洗、黏连松解和关节面清理术。平均随访期57.4个月,术后无复发。结论：内镜被证实是诊治化脓性颞下颌关节炎的一种有效方法,尤其适用于慢性期患者。
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| 关 键 词： | 颞下颌关节 化脓性关节炎 内镜 治疗 |
Septic arthritis of temporomandibular joint treated with arthroscopy |
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| CAI Xie-yi,YANG Chi,WANG Bao-li,YUN Bai. Septic arthritis of temporomandibular joint treated with arthroscopy[J]. China Journal of Oral and Maxillofacial Surgery, 2010, 8(3): 203-207 |
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| Authors: | CAI Xie-yi YANG Chi WANG Bao-li YUN Bai |
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| Affiliation: | . (Department of Oral and Maxillofacial Surgery, Ninth People＇s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China) |
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| Abstract: | PURPOSE: To summarize the findings of imaging studies and arthroscopy in patients with septic arthritis of temporomandibular joint who were managed with arthroscopy,and to recommend the operative procedures for acute and chronic stage.METHODS: Seven patients were included in this study.Their demographics,predisposing factors,clinical manifestation,imaging findings,joint aspiration,joint fluid culture,arthroscopic findings,treatments,and outcomes were collected and analyzed.RESULTS: The common symptoms were ... |
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| Keywords: | Temporomandibular joint Septic arthritis Arthroscopy Treatment |
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