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目的评价关节镜手术治疗颞下颌关节紊乱病的临床治疗效果。方法应用关节镜对40例(48侧)颞下颌关节紊乱病患者进行手术,对患者在治疗前与治疗后1、3、6个月时的最大张口度,前伸、侧向运动度,疼痛视觉模拟评分(VAS)及颞下颌关节紊乱指数(CMI)作对照分析。结果 40例(48侧)颞下颌关节紊乱病患者经关节镜手术治疗后及不同复诊时间段的最大张口度、前侧向运动度与术前比较均明显改善,关节区疼痛明显减轻,CMI明显下降,经统计学处理差异有统计学意义(P<0.05)。结论关节镜手术治疗颞下颌关节紊乱病在临床上具有优越性,值得推广应用。
Objective To evaluate the clinical effect of arthroscopic surgery on temporomandibular disorders. Methods Forty patients (48 sides) with temporomandibular disorder were treated by arthroscopy. The maximal mouth opening, antegrade, lateral movement and pain before and after 1, 3 and 6 months Visual analog scale (VAS) and temporomandibular disorder index (CMI) as controls. Results In 40 cases (48 sides) of patients with temporomandibular disorder, the maximal mouth opening and anterior lateral movement degree after arthroscopic operation and at different referral time were significantly improved compared with that before operation. The pain of joint area was obviously relieved and CMI was obvious Decline, the difference was statistically significant (P <0.05). Conclusion Arthroscopic surgical treatment of temporomandibular disorder is clinically superior and worthy of promotion.