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颞颌关节(TMJ)内窥镜作为关节疾病的一种诊断手段,由于其优良的诊断有效性而被肯定。同时,作为关节疾病的一种治疗手段,由于其明显的疗效而被日益广泛地用于临床。迄今,TMJ内窥镜已很少单纯用于诊断目的。由于其对某些TMJ病损的疗效甚佳,而又不切开关节,创伤较小,现已被许多学者推荐为TMJ内紊乱症(ID)和骨关节病(OA)外科治疗的首选方法。本文介绍了TMJ关节腔内松解灌洗术,关节内窥镜下的关节盘复位术以及关节内窥镜下的关节盘成形术和磨削性关节成形术等3种术式。
Temporomandibular joint (TMJ) endoscopy as a diagnostic tool for joint disease is affirmed by its excellent diagnostic validity. In the meantime, as a treatment for joint diseases, it is increasingly used clinically due to its obvious curative effect. To date, TMJ endoscopy has seldom been used solely for diagnostic purposes. It has been recommended by many authors as the preferred method of surgical treatment for disorders within the TMJ and osteoarthrosis (OA) due to its excellent effect on some TMJ lesions without the need to incise joints and trauma. . This article describes the TMJ intra-articular ligation and lavage, joint endoscopic arthroplasty and endoscopic arthroscopic disc arthroplasty arthroplasty and other three surgical procedures.