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    The role and significance of arthroscopy in early diagnosis of TMJ osteoarthritis
    关节内窥镜检术在早期诊断TMJ骨关节病中的作用及意义
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    Abstract Forty-six painful anterior disc displacement cases were treated with joint cavity irrigation and disc reduction by TMJ arthroscopic surgery,After 3 months following observation, the results showed that the curative effect of TWJ pain was 80%.
    应用颞颌关节内窥镜,对1992年5月~1994年9月间在华西医科大学口腔医院就诊的连续46例具有反复关节区疼痛的关节盘前移位患者,通过关节腔灌洗加关节盘镜下复位的方法进行治疗,并随访3月以上。
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    Methods:By using the combination method of CT imaging,3 D image reconstruction and computer image were analysed to measure and study the joint space on the computer image of 60 tempromandibular joints(TMJ) in transverse,coronary and sagittal sections of 3 D direction.
    方法:利用CT检查、三维影像重建技术和计算机图像分析相结合,从矢状面、冠状面和横断面三维方向对60侧颞颌关节CT图像上的关节间隙进行测量。
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  tmj
The control group consisted of 31 subjects with no TMJ symptoms.
      
No significant correlation between the degree of anterior disk displacement and palpation pain of the masticatory muscles or clicking/crepitus of the TMJ could be found.
      
Joint clicking was observed in 65% of patients with TMJ symptoms in normal disk position (NDP).
      
Condylar restoration after early TMJ fractures and functional appliance therapy
      
Condylar restoration after early TMJ fractures and functional applicance therapy
      
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This paper reported the curative effect of acupunture treatment of Myofacial Pain Dysfunction Syndrome (MPD) for 30 cases by diagnostic thermography. The results showed that there was a significant change in temperature on the skin surface of TMJ regions, before and after treatment indicating the curative effect in clinic. There was statistically significant difference between the acupuncture treatment and control group.Follow-up study of 8 cases compared with 10 normal adults showed that there was no...

This paper reported the curative effect of acupunture treatment of Myofacial Pain Dysfunction Syndrome (MPD) for 30 cases by diagnostic thermography. The results showed that there was a significant change in temperature on the skin surface of TMJ regions, before and after treatment indicating the curative effect in clinic. There was statistically significant difference between the acupuncture treatment and control group.Follow-up study of 8 cases compared with 10 normal adults showed that there was no significant difference in temperature obtained in thermography. It is concluded that thermography would be a criteria for the evaluation of the curative effect of acupuncture treatment.

报道应用红外热像研究手针合谷穴,面咽止痛穴治疗肌筋膜疼痛功能紊乱综合症(WyofacialPainDysfunctionMasticatoryMuscleSpasmSyndrome,MPD)30例的疗效。结果显示手针治疗中、治疗后比治疗前的TMJ区皮温均有明显升高。经方差分析,升温差异具有显著性意义。同时观察到MPD患者经手针治疗后,主要疼痛症状消失,下颌开闭及侧向运动受限明显改善。用红外热像对手针治疗组与按压治疗组、封闭治疗组作了对比研究,并经统计学处理后,证明手针比两对照组的升温差异有显著性意义。又对手针治疗一年后随访8例与10例成人正常组对比研究,红外热像温值差异无显著性意义。进而证实手针合谷穴、面咽止痛穴治疗MPD有相对特异性,疗效可靠。作者认为红外热像研究值为评定治疗MPD的疗效提供了客观的标准和新的研究方法。

Abstract Forty-six painful anterior disc displacement cases were treated with joint cavity irrigation and disc reduction by TMJ arthroscopic surgery,After 3 months following observation, the results showed that the curative effect of TWJ pain was 80%.and there was no significant difference between the cases of anterior disc displacement with reduction and the anterior disc displacement without reduction. The curative effect of disc reduction was 58%,and there was significant difference between the two...

Abstract Forty-six painful anterior disc displacement cases were treated with joint cavity irrigation and disc reduction by TMJ arthroscopic surgery,After 3 months following observation, the results showed that the curative effect of TWJ pain was 80%.and there was no significant difference between the cases of anterior disc displacement with reduction and the anterior disc displacement without reduction. The curative effect of disc reduction was 58%,and there was significant difference between the two kinds of disc displacement.The authors suggest that the TMJ operation should be given to the serious TMJID cases with anterior disc displacement without reduction.

应用颞颌关节内窥镜,对1992年5月~1994年9月间在华西医科大学口腔医院就诊的连续46例具有反复关节区疼痛的关节盘前移位患者,通过关节腔灌洗加关节盘镜下复位的方法进行治疗,并随访3月以上。结果表明,该治疗方法对可复性与不可复性盘前移关节疼痛治疗有效率达80%,二者间无显著性差异。但对盘复位疗效仅为58%,且可复性与不可复性盘前移间存在显著差异。作者认为不可复性盘前移并伴有关节内损害患者,多数应采用积极的外科手术治疗。

Abstract Osteoarthritis is a common disease of the humantemporomandibular joint(TMJ ).X-ray examination is the routine diagnostic method of TMJ osteoarthritis.In this study,thirty-five cases of TMJDS patients were examedarthroscopically and arthrographically,the findingsof each method were compared.The role andsignificance of arthroscopy in early diagnosis of TMJ osteoarthritis were discussed.The result showed that TMJ arthroscopy was very effective in the early identifyingof cartilage...

Abstract Osteoarthritis is a common disease of the humantemporomandibular joint(TMJ ).X-ray examination is the routine diagnostic method of TMJ osteoarthritis.In this study,thirty-five cases of TMJDS patients were examedarthroscopically and arthrographically,the findingsof each method were compared.The role andsignificance of arthroscopy in early diagnosis of TMJ osteoarthritis were discussed.The result showed that TMJ arthroscopy was very effective in the early identifyingof cartilage damage and synovitis.Compared with arthrography,TMJ arthroscopy is a valuable method for the early dignosis of TMJ osteoarthritis.

作者通过分析35例颞颌关节内紊乱症(TMJID)患者关节上腔内窥镜检查的结果,并与X线检查(包括关节腔造影检查)结果比较,探讨了TMJ内窥镜检在骨关节病早期诊断中的作用及意义。结果表明:关节内窥镜检对关节软骨早期病变及滑膜炎有不可替代的特殊诊断价值,关节内窥镜检是早期诊断TMJ骨关节病的重要手段。

 
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