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目的:分析稳定垫治疗颞下颌关节不可复性盘前移位的疗效。方法:使用稳定垫治疗不可复性盘前移位患者36例,疗程3个月,分别记录治疗前后患者疼痛值(VAS)和开口度变化,进行统计学分析。结果:患者VAS由治疗前的5.66±1.28减小到1.46±1.14;开口度由(26.93±2.64)mm增大到(38.35±2.04)mm,具有显著性差异(P<0.001),但治疗后MRI显示关节盘并未复位。结论:稳定垫治疗颞下颌关节不可复性盘前移位有良好的临床效果,但并非恢复关节盘的位置,而是通过促进关节盘双板区的适应性改建来实现的。
Objective: To analyze the curative effect of stable pad on the irreversible disc displacement of temporomandibular joint. Methods: Thirty-six patients with irreducible pretransplasia were treated with stable otoplasty pad. The course of treatment was 3 months. The change of VAS and opening before and after treatment were recorded and analyzed statistically. Results: The VAS decreased from 5.66 ± 1.28 before treatment to 1.46 ± 1.14; the opening degree increased from (26.93 ± 2.64) mm to (38.35 ± 2.04) mm, with significant difference (P <0.001) MRI showed that the disc was not reset. CONCLUSION: Stabilization of otoplasty for the treatment of temporomandibular joint incontinence of anterior disc displacement has a good clinical effect, but not for the restoration of the position of the disc, but rather by the adaptive modification of the disc area of the disc.