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首页> 外文期刊>British journal of oral & maxillofacial surgery >Temporomandibular joint arthrocentesis and lavage for the treatment of closed lock: a follow-up study
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Temporomandibular joint arthrocentesis and lavage for the treatment of closed lock: a follow-up study

机译：颞下颌关节穿刺术和灌洗术治疗闭合性锁：一项后续研究

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Objectives: Temporomandibular joint (TMJ) arthrocentesis and lavage, first described in the North American literature in 1991, is a simplified method used for the treatment of severe, limited mouth opening. The purpose of this study is to evaluate the efficacy of this technique as a treatment for closed lock of the TMJ. Design: Forty-six patients with persistent closed lock of the TMJ of acute onset were treated by TMJ arthrocentesis and lavage with manipulation in an out-patient setting. Clinical data was collected in the form of visual analogue scales for pain and chewing ability, and measurements of maximum mandibular opening before and after treatment. Results: On follow-up ranging from 6 to 30 months, jaw opening and mandibular function had significantly improved (p < 0.001), and pain had substantially decreased in all but one patient as a result of this procedure. Conclusion: TMJ arthrocentesis and lavage is recommended as a simple alternative to more invasive TMJ procedures as an effective technique for the treatment of acute persistent closed lock of the TMJ.
机译：目的：颞下颌关节（TMJ）关节穿刺术和灌洗，最早于1991年在北美文献中进行描述，是一种用于治疗严重，有限的张口的简化方法。这项研究的目的是评估该技术作为TMJ闭锁治疗的功效。设计：对46例急性发作的TMJ持续闭合闭锁的患者，在门诊患者中通过TMJ穿刺术和灌洗进行了治疗。以视觉模拟量表的形式收集有关疼痛和咀嚼能力的临床数据，并测量治疗前后的最大下颌开口。结果：在6到30个月的随访中，由于这一手术的结果，除一名患者外，所有患者的颌骨张开和下颌功能均得到了显着改善（p <0.001），疼痛明显减轻。结论：建议将TMJ关节穿刺术和灌洗术作为更具侵入性的TMJ手术的简单替代方法，作为治疗TMJ的急性持续性闭锁的有效技术。

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