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目的评判关节镜手术治疗复发性脱位患者远期疗效的稳定性。方法30例患者的34侧复发性脱位关节进行了38例次关节镜手术(关节盘后区硬化疗法和关节盘缝合牵引固定术),其中4例次为重复关节镜手术,4例次为双侧同期手术。结果总疗效(随访期1个月~8年):有效率97%(3/34);治愈率8%(30/34)。其中,随访期2年以上的有21例患者的22侧受累关节,平均随访期4年(2~8年)。远期疗效:有效率95%(21/22),治愈率82%(18/22)。结论关节盘后区硬化疗法及关节盘牵引固定术对复发性颞下颌关节脱位有肯定的远期疗效
Objective To evaluate the long-term efficacy of arthroscopic surgery in patients with recurrent dislocation. Methods Thirty-eight patients with 34 recurrent dislocation joints underwent arthroscopic surgery in 38 patients undergoing joint arthroscopy (joint sclerotherapy and articular suture traction traction fixation), of which 4 were underwent repeat arthroscopic surgery and 4 were double Side surgery. Results The total efficacy (follow-up period of 1 month to 8 years): the effective rate was 97% (3/34); the cure rate was 8% (30/34). Among them, 21 patients with over 2 years of follow-up had 22 involved joints with an average follow-up of 4 years (range 2 to 8 years). Long-term efficacy: the efficiency of 95% (21/22), the cure rate was 82% (18/22). Conclusions The posterior posterior region sclerotherapy and disc traction fixation have definite long-term effects on recurrent temporomandibular joint dislocation