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关节下腔治疗颞下颌关节不可复性盘前移位
引用本文:刘俊杰,牟鸿,张东升,龙星,王庆华,付秀兰. 关节下腔治疗颞下颌关节不可复性盘前移位[J]. 国际口腔医学杂志, 2010, 37(1): 30-32,35. DOI: 10.3969/j.issn.1673-5749.2010.01.009
作者姓名:刘俊杰  牟鸿  张东升  龙星  王庆华  付秀兰
作者单位:山东大学附属省立医院口腔颌面外科,山东,济南,250012;山东大学附属齐鲁儿童医院耳鼻咽喉科,山东,济南,250022;武汉大学口腔医院口腔颌面外科,湖北,武汉,430079
摘    要:目的研究经关节下腔治疗颞下颌关节(TMJ)不可复性盘前移位(ADDw/oR)的临床疗效。方法将临床和影像学检查确诊的单侧TMJADDw/oR患者56例,随机分为关节上腔组和下腔组,以治疗前作对照,经关节内灌洗、注射玻璃酸钠后行手法复位并佩戴密歇根(Michigan)稳定性咬合板2个月,复诊记录摩擦指数并评价其疗效。结果关节上腔和下腔治疗组开口度均较治疗前明显增大(P〈0.01),摩擦指数值较治疗前均明显下降(P〈0.01) 下腔治疗组开口改善度较上腔治疗组增加明显(P〈0.05),而摩擦指数值又明显小于上腔治疗组(P〈0.05)。结论TMJADDw/oR的关节下腔治疗效果明显优于上腔。

关 键 词:关节下腔  颞下颌关节  不可复性盘前移位

Lower joint cavity treatment of temporomandibular joint with anterior disc displacement without reduction
LIU Jun-jie,MU Hong,ZHANG Dong-sheng,LONG Xing,WANG Qing-hua,FU Xiu-lan. Lower joint cavity treatment of temporomandibular joint with anterior disc displacement without reduction[J]. Journal of International Stomatology, 2010, 37(1): 30-32,35. DOI: 10.3969/j.issn.1673-5749.2010.01.009
Authors:LIU Jun-jie  MU Hong  ZHANG Dong-sheng  LONG Xing  WANG Qing-hua  FU Xiu-lan
Affiliation:1.Dept.of Oral and Maxillofacial Surgery;The Affiliated Provincial Hospital;Shandong University;Jinan 250012;China;2.Dept.of Otorhinolaryngology;The Affiliated Qilu Children's Hospital;Jinan 250022;3.Dept.of Oral and Maxillofacial Surgery;College of Stomatology;Wuhan University;Wuhan 430079;China
Abstract:Objective To study the clinical effects of the lower joint cavity treatment on the patients with anterior disc displacement without reduction(ADDw/oR) of temporomandibular join(tTMJ).Methods 56 patients with ADDw/oR were randomly divided into two groups:The upper joint cavity treatment group and the lower joint cavity treatment group.Manual reduction was used on all the patients after intra-articular injection of hyaluronate.And then,they were treated with the Michigan stabilization splint.At last,friction ...
Keywords:lower joint cavity  temporomandibular joint  anterior disc displacement without reduction  
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