摘要
目的 探讨关节腔扩张后手法复位辅助再定位垫治疗颞下颌关节紊乱病急性不可复性盘前移位。方法 2 %局麻药 2～ 3ml注入关节上腔 ,手法复位解除不可复性前移位的关节盘 ,复位后即刻戴用再定位垫保持良好的盘 突关系。结果 近期临床观察表明 :①开口度恢复 ,最大开口度从治疗前的 2 5 8mm增大到 46 6mm ;②疼痛症状消失 ,疼痛分值视觉模拟尺从治疗前的 2 6 2下降到 0 43;③颞下颌关节功能改善 ,Fricton关节功能障碍指数和颞下颌关节紊乱指数分别从治疗前的 0 337和 0 185下降到 0 0 2 1和 0 0 11。结论 颞下颌关节紊乱病急性不可复性盘前移位药物治疗和理疗无效的情况下 ,关节盘复位辅助定位垫是一有效的治疗方法。远期效果如何尚需进一步观察。
Objective To evaluate a new treatment method for temporomandibular joint acute disk displacement without reduction Methods Twenty one patients diagnosed as acute anterior disk displacement without reduction were treated by manipulation with the aid of joint cavity extension followed by anterior repositioning splint All and eleven of twenty one patients were re examined two weeks after insertion of splint and at the end of treatment (3～6 months later) Results ① Degree of maximum mouth opening was increased from 25 8 mm before treatment to 46 6 mm 2 weeks after, 48 1 mm at the end of treatment; ② Mean pain level (VAS) dropped from 2 62 before treatment to 0 43 2 weeks after, 0 18 at the end of treatment; ③ Fricton′s TMJ dysfunction index and craniomandibular index decreased from 0 337 and 0 185 respectively before treatment to 0 021 and 0 011 respectively 2 weeks after, 0 031 and 0 018 respectively at the end of treatment. Conclusions The treatment method should be considered for acute anterior disk displacement without reduction if medication and physical therapy failed to have disk successfully reduced
出处
《中华口腔医学杂志》
CAS
CSCD
北大核心
2002年第1期36-38,T003,共4页
Chinese Journal of Stomatology
