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作者应用Hopkin氏颞颌关节内窥镜对40例口腔颌面外科患者,43个关节腔进行了检查,并对颞颌关节紊乱合征的患者进行了冲洗和剥离的治疗。颞颌关节紊乱综合征镜下所见有不同的病理性改变:滑膜炎关节盘后组织改建、粘连、纤维化、穿孔以及退行性变等。髁状突骨折、颞颌关节纤维强直和髁状突肿瘤均有其特定的镜下病理改变。利用颞颌关节内窥镜治疗的结果表明:对颞颌关节的疼痛和下颌运动受限者有一定的疗效并且无明显付作用。
The authors used Hopkin's TMJ endoscopy to examine 40 patients with oral and maxillofacial surgery and 43 articular cavities. Patients with TMJ disorders were treated with irrigation and dissection. Temporomandibular joint disorder syndrome seen under the microscope with different pathological changes: joint synovial tissue reconstruction, adhesions, fibrosis, perforation and degenerative changes. Condylar fractures, temporomandibular joint ankylosis and condylar tumors have their specific pathological changes. The results of treatment with temporomandibular joint endoscopy showed that the pain and mandibular movement of the temporomandibular joint had a certain effect and no significant effect.