本文通过10例临床诊断为颞颌关节紊乱综合征器质损害型患者的 X-线片、关节造影、关节内窥镜和手术发现的对照观察,提出有助于临床诊断的依据,并指出在本组病例中,髁突病变较为多见,而关节盘的损害可能为继发性。本文还针对高位关节成形术(囊内髁突切除术)和关节盘摘除术的治疗效果进行了初步探讨。经工1～1.5年随访,高位关节成形术效果满意而关节盘摘除术效果欠佳。 In this paper, based on 10 cases of X-ray films, arthroscopy, arthroscopy and surgical findings found in patients with TMJ disorders, the basis for clinical diagnosis was put forward, In this group of patients, condylar lesions are more common, and the damage of the articular disk may be secondary. This article also for high arthroplasty (intracapsular condyle resection) and the effect of articular disc surgery were discussed. After 1 to 1.5 years of follow-up, high-level arthroplasty satisfactory results and the effect of disc removal is poor.