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目的 :评价关节内窥镜手术治疗颞下颌关节紊乱病的临床效果。方法 :应用关节内窥镜通过镜下各种微型手术器械 ,内窥镜直视下手术 ,通过灌洗、粘连松解、清扫等方法去除关节腔内各种病变和关节盘复位术 ,治疗 113例 (132侧关节 )颞下颌关节紊乱病。结果 :随访 6～ 84个月 ,随访期内 ,张口度增加 0～ 16mm ,平均 9.6mm(P <0 .0 0 1) ,健侧侧向运动度增加 2 .5～ 7.8mm ,平均 4.8mm(P <0 .0 1) ;术后 91.4%的患者疼痛缓解 ,疼痛缓解程度 1.5～ 5 .0 ,平均 3.6 (P <0 .0 0 1)。 6 2 .5 %的患者弹响消失。总的疗效评定为 :优良 5 0例(4 4.2 % ) ,改善 5 2例 (4 6 .0 % ) ,无效 11例 (9.7% ) ,总有效率为 90 .3% (10 2 / 113)。术后无严重并发症发生。结论 :内窥镜手术治疗颞下颌关节紊乱病是一种有效的方法
Objective: To evaluate the clinical effect of arthroscopic surgery on temporomandibular disorders. Methods: All kinds of micro-surgical instruments under endoscope, endoscopic surgery under direct vision were used to remove all kinds of intra-articular lesions and disc replacement by means of lavage, adhesiolysis and dissection. The treatment of 113 Cases (132 lateral joints) Temporomandibular disorders. Results The follow-up ranged from 6 to 84 months. During the follow-up period, mouth opening increased by 0-16 mm with an average of 9.6 mm (P <0.01), and contralateral lateral movement increased by 2.5-7.8 mm (average 4.8 mm (P0.01) .Among the 91.4% of the patients, the pain relief was relieved and the degree of pain relief was 1.5-5.0 (mean, 3.6; P <0.01). 62.5% of patients snapping disappeared. The overall efficacy was rated as excellent in 50 cases (4.2%), improvement in 52 cases (46.0%), ineffectiveness in 11 cases (9.7%), and total effective rate of 90.3% (10 2/113) . No serious postoperative complications occurred. Conclusion: Endoscopic surgery for temporomandibular joint disorder is an effective method