口腔急诊患者中颞下颌关节脱位的特点及治疗方法

Characteristics and Treatment of Temporomandibular Joint Dislocation in Oral Emergency Patients

目的探讨分析口腔急诊患者中颞下颌关节脱位的特点及治疗方法。方法本次186例研究对象从2012年9月—2014年12月期间在巩义市疾病预防控制中心门诊部接诊的颞下颌关节脱位患者中抽取,并采用随机数字表法分为口内法治疗组和口外法治疗组各93例,观察两组患者的颞下颌关节复位成功率以及不良情况发生率并进行分析比较。结果根据复位评价标准,口内法组成功率为92.5%,口外法组的成功率分为96.8%,组间对比差异不明显,不具有显著统计学意义(P>0.05);口内法组不良情况发生率为10.8%,明显高于对照组的3.2%,组间差异明显,具有统计学意义(P<0.05)。结论颞下颌关节脱位采用口外法治疗较口内法有一定优势,而且不良反应发生情况较少,值得临床上推广应用。

OBJECTIVE To investigate the characteristics and treatment of temporomandibular joint dislocation in oral emergency patients.METHODS From September 2012 to December 2014, 186 patients with TMJ dislocation were selected and randomly divided into the intraoral group and the extraoral group. The success rate of TMJ reduction and the incidence of adverse conditions were observed and compared. RESULTS According to the reduction evaluation criteria, the success rate of intraoral method was 92.5%, and that of extraoral method was 96.8%. There was no significant difference between the two groups(P>0.05). The incidence of adverse conditions in intraoral method group was 10.8%, which was significantly higher than the control group(3.2%, P<0.05). CONCLUSION Temporomandibular joint dislocation treated by external method had certain advantages over intraoral method. The incidence of adverse reactions was less,which was worthy of clinical application.