天津医药

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介入与咬合板治疗不可复性关节盘前移位的临床研究

郭奕1,王东2,彭诚3,赵彤1,陈晶晶4   

  1. 1. 天津医科大学第二医院口腔科
    2. 天津医科大学第二医院
    3. 天津市医科大学第二医院
    4. 天津医大二院口腔科
  • 收稿日期:2011-06-13 修回日期:2011-07-07 出版日期:2011-11-15 发布日期:2011-11-15
  • 通讯作者: 郭奕

The Clinical Study of Interventional and Biteplate Treatment on Anterior Disc Displacement without Reduction

  • Received:2011-06-13 Revised:2011-07-07 Published:2011-11-15 Online:2011-11-15

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摘要： 摘要 目的：观察咬合板和透明质酸钠（SH）关节腔注射介入治疗颞下颌关节不可复性盘前移位的临床效果。方法：将96例颞下颌关节不可复性盘前移位患者随机分为单纯咬合板组（单纯戴用咬合板）、单纯SH介入治疗组（单纯关节腔内介入治疗）和咬合板联合介入治疗组（咬合板联合介入治疗），每组32例。治疗3个月后，比较3组患者在开口度和疼痛方面的疗效。结果：治疗3个月后，3组的开口度均增加，疼痛指数均降低，差异有统计学意义（P<0.05或P <0.01）。治疗3个月后，咬合板联合介入组的开口度改变值大于单纯咬合板组和单纯SH介入治疗组，咬合板联合介入组和单纯SH介入治疗组的疼痛缓解程度均大于单纯咬合板组，差别均有统计学意义（P <0.001）。结论：联合治疗组疗效明显优于单纯戴咬合板或单纯介入治疗组，透明质酸钠在缓解疼痛方面疗效优于咬合板治疗。

关键词: 牙|牙合, 颞下颌关节功能紊乱综合征, 透明质酸, 注射, 关节内, 咬合板

Abstract: Abstract Objective: To investigate the clinical effect of biteplate and interventional treatment of sodium hyaluronate on anterior disc displacement without reduction. Methods: Ninety-six patients with Anterior disc displacement without reduction were divided into three groups (32 patients in each group)，group A (biteplate treatment only), group B (interventional treatment only) and group C (combination of biteplate and interventional treatment). Three months after treatment，the pain index and maximal mouth opening were compared between groups. Results: After treatment, the maximal mouth opening was increased and the pain index was decreased in patients of three groups. The improvement was statistically significant (P<0.05 or P<0.01). The change of maximal mouth opening was bigger in combined group than that of biteplate treatment only and interventional treatment only group. The pain index was significantly lower in combined group and interventional treatment only group than that of biteplate treatment only group (P<0.001). Conclusions: The effect is obviously better in combination group than that of biteplate treatment only group and interventional treatment only group. The effect of sodium hyaluronate on alleviating pain is better than that of biteplate treatment.

Key words: dental occlusion temporomandibular joint dysfunction syndromehyaluronic acid injections, intra-articular biteplate