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本文目的是评估张口受限患者经关节镜松解和冲洗术后的效果,观察术前张口度与手术疗效的关系。 对象与方法 14例不可复性关节盘移位患者(女13例,男1例)平均44.6岁,有16个疼痛关节,已经过保守治疗。关节镜视野直经3.2mm,用剃削器或单电极烧灼器松解前、中、后和侧壁粘连,再用生理盐水冲洗关节上腔,最后注入4 mg地塞米松。术后第二天开始理疗并持续3个月,三餐后和睡觉前行张口练习,并应用非类固醇类抗炎药物1个月。术后第1、3、6和12个月复诊。每次复诊根据疼痛程度(0—无疼痛,100—
The purpose of this paper is to evaluate the effect of arthroscopic release and irrigation after a limited mouth opening to observe the relationship between preoperative mouth opening and surgical outcome. Subjects and Methods 14 cases of unrefoverable disc displacement patients (13 females, 1 males) average 44.6 years old, there are 16 painful joints, has been conservative treatment. Arthroscopic vision through 3.2mm, with a shaver or single-electrode cauterization before, during, and after the side wall adhesions, and then washed with saline on the joint cavity, and finally injected 4mg dexamethasone. Physiotherapy was started on the second postoperative day for 3 months, followed by mouth-opening exercises after three meals and before going to bed, and non-steroidal anti-inflammatory drugs for 1 month. Postoperative 1, 3, 6 and 12 months of referral. Each referral according to the degree of pain (0 - no pain, 100 -