摘要 目的：总结颞下颌关节纤维性强直保守治疗的经验。方法：选择适当的颞下颌关节纤维性强直的病例共11例，在全麻下，使用一定强度的外力使纤维性粘连撕裂松解。结果：11例颞下颌关节纤维性强直全部治疗成功，治疗后外形及功能恢复良好。结论：用保守治疗的方法治疗颞下颌关节纤维性强直，较手术方法有许多优越性，但也存在着一些不足的方面，有待进一步探索、解决。适应证的选择恰当，并能坚持有效的张口训练，是保守治疗成功的关键。
中图分类号 R782.4
Clinical ctudy of conservative treatment in fibro ankylosis of the temporomandibular joint.
Li Hualin, Xie Wenyang, Xu Feng, et al.
Stomatol
ogy Hospital of Zunyi Medical College, Guizhou 563003
Abstract Objective: The aim of the present study was investigating a new method for conservative treatment in fibrosis of the temporomandibular joint.Methods: 11cases of fibro ankylosis of the TMJ were treated by a mouth gag to tear and relax the fibro ankylosis in general aneasthesia.Results: All of the cases were successed,the function of mouth opeing resumed and the appearance were satisfactory.Condusion: This conservarive treatnent is better than surgical operation in fibro ankylosis of TMJ.The key point is to choose suitable cases and persevere in opening exercise.
Key words TMJ fibro ankylosis Conservative treatment
颞下颌关节纤维性强直是临床常见病，通常采用手术治疗，如髁状突的摘除等［1］。这种治疗方法存在着许多方面的不足，如正常颞下颌关节骨的解剖结构的破坏；咀嚼肌群正常附着区的消失导致的肌群正常平衡状态的破坏等。近年来，我院对部分颞下颌关节纤维性强直的病例进行了保守性的治疗，取得了较为满意的疗效，现总结报告如下：
材料与方法
一、临床资料
1.一般临床资料。本组病例共11例，其中男5例，女6例。患者年龄9～32岁。1例为一侧颞下颌关节纤维性强直，对侧颞下颌关节无病变，10例为一侧颞下颌关节纤维性强直，对侧颞下颌关节强直。
2.颞下颌关节纤维性强直的诊断标准［2，3］：(1)进行性张口困难。(2)髁状突活动减弱或消失。
发表评论