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本研究旨在评价关节镜手术与关节穿刺术对颞颌关节内紊乱(TMJID)的治疗效果。 患可复性关节盘前移位(ADDR)或不可复关节盘前移位(ADDW),以及经保守治疗无效的TMJID患者共19例,均为女性,平均年龄为31岁,其中10例单侧,9例双侧,所有病例经病史、临床检查,全景片及MR检查确诊。随机分为两组接受外科治疗。关节镜手术组,共11例,全麻下经关节镜作关节内松解,林格氏液灌洗,上腔注留6mg倍他米松;关节穿刺组,共8例,静脉镇静下作关节穿刺,上腔扩张后,120ml林格氏液灌洗,上腔同样注留6mg倍他米松。两组患者术后全流饮食1周,口服布洛芬止痛。所有患者术前,术
This study was designed to evaluate the effect of arthroscopic and percutaneous puncture on the treatment of TMJID. A total of 19 TMJID patients with ADDR or ADDW and conservative treatment failure were female, with a mean age of 31 years, of whom 10 were single Side, 9 cases of bilateral, all cases by history, clinical examination, panoramic film and MR examination confirmed. Randomly divided into two groups to receive surgical treatment. Arthroscopic surgery group, a total of 11 cases, under general anesthesia by arthroscopic intraarticular lysis, Ringer's solution lavage, the upper chamber for the injection of 6mg betamethasone; joint puncture group, a total of 8 cases of sedation under the joint Puncture, the expansion of the upper chamber, 120ml Ringer's solution lavage, the upper chamber also received 6mg betamethasone. Two groups of patients after a full-flow diet for 1 week, oral ibuprofen pain. All patients preoperative and postoperative