[Clinical analysis of arthroscopy used in the diagnosis and treatment of synovial chondromatosis of the temporomandibular joint].

Szczegóły
Abstrakt

Tytuł:: [Clinical analysis of arthroscopy used in the diagnosis and treatment of synovial chondromatosis of the temporomandibular joint].
Autorzy:: Qiao YM; Dept. of Oral and Maxilloficial Surgery, the Stomatology Center of the First Affiliated Hospital of Zhengzhou University, Henan Provincial Key Laboratory of Oral Health Management and Cancer Prevention Medicine, Zhengzhou 450052, China.
Wang Y; Dept. of Oral and Maxilloficial Surgery, the Stomatology Center of the First Affiliated Hospital of Zhengzhou University, Henan Provincial Key Laboratory of Oral Health Management and Cancer Prevention Medicine, Zhengzhou 450052, China.
Li R; Dept. of Oral and Maxilloficial Surgery, the Stomatology Center of the First Affiliated Hospital of Zhengzhou University, Henan Provincial Key Laboratory of Oral Health Management and Cancer Prevention Medicine, Zhengzhou 450052, China.
Źródło:: Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology [Hua Xi Kou Qiang Yi Xue Za Zhi] 2021 Apr 01; Vol. 39 (2), pp. 209-214.
Typ publikacji:: Journal Article
Język:: Chinese
Imprint Name(s):: Publication: Chengdu : Sichuan yi xue yuan
Original Publication: Chengdu : Sichuan yi xue yuan, 1983-
MeSH Terms:: Chondromatosis, Synovial*/diagnosis
Chondromatosis, Synovial*/surgery
Temporomandibular Joint Disorders*/diagnosis
Temporomandibular Joint Disorders*/surgery
Arthroscopy ; Humans ; Magnetic Resonance Imaging ; Retrospective Studies ; Temporomandibular Joint
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Contributed Indexing:: Keywords: arthroscopy; opening surgery; synovial chondromatosis; temporomandibular joint
Local Abstract: [Publisher, Chinese] 目的 : 评估关节镜对颞下颌关节滑膜软骨瘤病（TMJSC）的诊治的临床意义。方法 : 本研究回顾性分析2011年7月至2018年12月收治的16例经磁共振检查（MRI）初步诊断为TMJSC的病例，若经关节镜检查明确诊断者，即行开放手术，对确诊病例的术前MRI、关节镜、开放手术情况、术后病理诊断、术后MRI进行分析，并进行临床随访，评价其诊治效果；对其术前、随访的开口度、视觉模拟疼痛评分（VAS）进行差异性 t 检验。结果 : 经关节镜诊断为TMJSC者14例，与术后病理诊断相符，关节镜的诊断正确率100%。术后MRI复查，关节腔病灶基本消失；10例TMJSC患者随访（随访率71.4%）期为6个月~7年8个月，平均随访时间17.6个月，未见复发者，且临床症状均有不同程度改善。术前和随访时，开口度差异性 t 检验结果为 t =7.757、 P <0.05；VAS的 t 检验结果为 t =-3.274、 P <0.05。结论 : 关节镜对TMJSC的术前确诊是必要的，在开放手术中有重要的辅助诊疗的作用。.
Entry Date(s):: Date Created: 20210409 Date Completed: 20210412 Latest Revision: 20210421
Update Code:: 20240105
PubMed Central ID:: PMC8055772
DOI:: 10.7518/hxkq.2021.02.013
PMID:: 33834677
: Czasopismo naukowe

Objectives: To evaluate the value of arthroscopy in the diagnosis and treatment of synovial chondromatosis of the temporomandibular joint (TMJSC).
Methods: The cases of 16 patients preliminarily diagnosed with TMJSC by magnetic resonance imaging (MRI) from July 2011 to December 2018 were analyzed retrospectively. If the diagnosis was confirmed by arthroscopy, the opening operation was performed. The preoperative MRI, arthroscopy and opening operation, postoperative pathology and postoperative MRI of confirmed cases were analyzed, and clinical follow-up was performed to evaluate the curative effect of open surgery. The degree of mouth opening and visual analogue scale (VAS) scores for pain pre-operation and during follow-up of the confirmed cases were analyzed by t -test.
Results: Fourteen cases of TMJSC were diagnosed by arthroscopy, consistent with the postoperative pathological diagnosis. Postoperative MRI examination showed that articular cavity lesions basically disappeared. Ten patients with synovial chondromatosis were followed-up (follow-up rate, 71.4%) from 6 months to 7 years and 8 months (average follow-up time, 17.6 months); no recurrence was found, and clinical symptoms improved by varying degrees. Before operation and at follow-up, t- test results of opening degree difference were t =7.757, P <0.05; t -test results of VAS were t =-3.274, P <0.05.
Conclusions: Arthroscopy is essential in the diagnosis and treatment of TMJ synovial chondromatosis.

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