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颞颌关节盘的修补或置换是临床医师所面临的难题之一,作者对58例用自体真皮移植修复病损关节盘的患者进行了术后3～8年的观察研究,认为自体真皮是关节盘修补的首选组织。研究包括58名患者(64个病变关节),全部患者均有张口受限,张口时上下切牙间距17～36mm(平均26.4mm)。颞颌关节病理:14例关节退行性病变;14例关节盘移位;12例关节损伤;11例关节盘摘除术后;6例风湿性关节炎;1例系统性红斑狼疮。术前关节盘状况均由关节下腔造影确定。手术方法采用Henny′s改良耳前切口暴露关节
Temporomandibular joint disc repair or replacement is one of the problems faced by clinicians, the author of 58 cases of autologous dermal grafts for the repair of patients with disc lesions 3 to 8 years after the study observed that the autologous dermis is the joint Disc repair the preferred organization. The study included 58 patients (64 diseased joints) with limited mouth opening and a maxillary opening of 17 to 36 mm (average 26.4 mm) at the mouth. Temporomandibular joint pathology: 14 cases of joint degenerative disease; 14 cases of joint disc shift; 12 cases of joint injury; 11 cases of joint disc excision; 6 cases of rheumatoid arthritis; 1 case of systemic lupus erythematosus. The status of preoperative disc was determined by the inferior arteries. Surgical methods Henny's modified anterior incision exposed joints