颞颌关节功能紊乱综合症手术治疗的商榷

DISCUSSION ON SURGICAL TREATMENT OF TEMPORO-MANDIBULAR JOINT DYSFUNCTION SYNDROME (TMJDS)

本文报告了颞颌关节功能率乱综合征手术治疗的22例26次手术,术式是随着手术进展而采用的五种方式,即髁状突截除术十关节盘摘除术2例2侧,髁状突囊内成形术十关节盘修补术或复位术3例4侧,关节盘摘除术2例2侧,髁状突高位截除术12例14侧,颞颌关节重建术3例4侧。术后观察疼痛症状基本消失,关节组织切除过多者,有张口偏位,精神症状随术后疗效而有轻重不同的影响。本文重点讨论了手术指征的宽、严观点,手术疗效的评定标准,手术术式的选择依据,辅助治疗的重视与应用,对这些当代颇为流行,但还存在着认识不一致或者说未被重视的问题提出了自己的观点进行商椎。

22 cases suffered from TMJDS treated by surgical treatment were reported in this paper. The operative procedures included 5 types: Condylectomy + diskectomy (2 cases, 2 sides), arthroplasty + disk repositioning or diskoplasty (3 cases, 4 sides) disk removal (2 cases, 2 sides), and condylotomy (12 cases, 14 sides) after surgical treatment, pain was disappeared in almost eary case. But if the articular tissues were over-ectomy, the patients op-enmouth inclined to side. The author discussed emphatically on the indication of the surgical treatment, the criteria of evaluating curative effect of the surgical treatment, the choice of the operative procedures, and the applications of the assistant teeatment.