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Arthrocentesis

骨科

关键词骨科 治疗方法 膝关节疾病

词汇介绍

拓展阅读

解析

Arthrocentesis /,ɑ:θrəusen'ti:sis/

释义   n. 关节穿刺术

例句   Objective is to observe and evaluate the therapy efficacy of the TMJ arthrocentesis for treatment of TMD.

目的是观察和评价关节冲洗术治疗颞下颌关节紊乱病(TMD)的临床效果。

概述

一、操作概述或定义随着时代的发展和社会节奏的加快,我国逐步进入老龄化,膝关节作为人体最大的负重关节其发病率逐年提高,关节穿刺术作为一项基本操作技术应用已非常普遍,掌握无痛膝关节穿刺术即显得尤为重要。所谓无痛膝关节腔穿刺术,是指在不应用局部麻醉药的情况下行膝关节腔穿刺术,使用熟练的穿刺技术而达到轻度疼痛或无痛效果。膝关节腔穿刺术是骨科医生诊断与治疗膝关节疾病常用的一项操作技术。在临床工作中膝关节穿刺术会引起患者不同程度的疼痛症状,甚至部分患者因疼痛而拒绝关节腔穿刺,需局部麻醉才能配合治疗。&nbs

Long-term evaluation of single-puncture temporomandibular joint arthrocentesis in patients with unilateral temporomandibular disorders复制标题

单侧颞下颌关节紊乱病患者单次穿刺颞下颌关节穿刺术的远期评价

发表时间:2018-01-12

影响因子:1.9

作者: Senturk M F

期刊:Int J Oral Maxillofac Surg

This study demonstrated that SPA is an effective modality for the treatment of pain and restrictions in lateral excursion, protrusion, and MMO in cases of Wilkes stage 3 unilateral TMD. All of the parameters measured were improved in the short-term and long-term groups. Patients were followed for up to 24 months. Conservative treatment procedures such as manipulation of the mandible, splint therapy, and physical therapy are the initial treatment options in the management of TMDs. TMJ arthrocentesis for lysis and lavage has been recommended when these methods fail. This is performed with the patient under local anaesthesia for the irrigation of the superior TMJ space and release of the joint, and results show improved function, an increased range of motion, and a decrease in pain. The procedure leads to an increase in MMO, decrease in joint crepitus, and pain relief over the short term and long term. In those patients with internal derangement and inflammatory degenerative disorders of the TMJ, arthrocentesis has been proposed as an effective approach to manage the symptoms. Arthrocentesis also offers favourable and stable long-term results with regard to increasing the MMO and reducing the pain and dysfunction in internal derangement.

译文

该研究表明,在Wilkes 3期单侧TMD病例中,SPA是治疗疼痛和限制侧向偏移,突出和MMO的有效方式。所有测量的参数在短期和长期组中都得到了改善。患者随访长达24个月。保守治疗程序,如操纵下颌骨,夹板治疗和物理治疗是TMD管理的初始治疗选择。当这些方法失败时,建议使用TMJ关节穿刺术进行裂解和灌洗。这是在局部麻醉下对患者进行的,用于冲洗上部TMJ空间和释放关节,结果显示功能改善,运动范围增加,疼痛减轻。该过程导致MMO增加,关节痉挛减少,以及短期和长期疼痛缓解。在TMJ内部紊乱和炎性退行性疾病的患者中,已经提出关节穿刺术作为治疗症状的有效方法。对于增加MMO和减少内部紊乱中的疼痛和功能障碍,关节穿刺术也提供有利且稳定的长期结果。