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【目的】比较关节灌洗和关节镜手术治疗颞下颌关节紊乱病的临床效果。【方法】应用关节灌洗术治疗 35例 (4 2侧关节 )颞下颌关节紊乱病 ;应用关节镜手术治疗 42例 (5 0侧关节 )颞下颌关节紊乱病 ,并对两种方法的疗效进行比较。【结果】关节灌洗组随访 12～ 45个月 ,术后张口度平均增加 (8± 4)mm ,86 %患者疼痛缓解 ,72 %杂音消失 ,总有效率为 83%。关节镜组随访 12～ 48个月 ,张口度平均增加 (8± 4)mm ,89%患者疼痛缓解 ,79%杂音消失 ,总有效率为 86 %。两组比较 ,张口度改善、杂音及疼痛缓解率均无显著差异。【结论】关节灌洗术和关节镜手术治疗颞下颌关节紊乱病均有效 ,但关节灌洗术方法简单、损伤小 ,易于推广应用
【Objective】 To compare the clinical effects of joint lavage and arthroscopy in the treatment of temporomandibular disorders. 【Methods】 Thirty-five cases (42 lateral joints) of temporomandibular joint disorder were treated with arthroscopic lavage. Forty-two patients with temporomandibular joint disorder were treated with arthroscopic surgery. The curative effects of the two methods were evaluated Compare 【Results】 The patients in the joint lavage group were followed up for 12-45 months. The average degree of postoperative mouth opening was (8 ± 4) mm. The pain relief was relieved in 86% and the noise disappeared in 72%. The total effective rate was 83%. The arthroscopy group was followed up for 12 to 48 months with an average increase in mouth opening (8 ± 4) mm. Pain was relieved in 89% of patients and 79% of murmurs disappeared with a total effective rate of 86%. There was no significant difference between the two groups in mouth opening improvement, noise and pain relief rate. 【Conclusions】 Both joint lavage and arthroscopy are effective in the treatment of temporomandibular disorder. However, the method of joint lavage is simple, less damaging and easy to popularize.