颞下颌关节镜检查

Anders Holmlund , Gustaf Hellsing
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引用次数: 111

摘要

在尸检材料上评估了颞下颌关节(TMJ)的关节镜,使用了两种不同类型的关节镜,一种是杆状透镜系统,一种是所谓的Selfoc系统,并对其诊断准确性进行了比较。在54具尸体上,发现可以准确地刺穿上部关节室,而不会损伤重要组织。根据从耳屏到外眦的指引,确定了便于临床关节镜检查的皮肤标志。另外49例TMJ标本经关节镜检查。这些发现与解剖过程中所做的观察结果很好地吻合。对于关节改变,两种类型的关节镜的诊断准确率均达到100%。关于重塑改变,诊断准确率约为57%。两种关节镜检查结果无明显差异。杆状透镜关节镜下的摄影文献质量较好。
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Arthroscopy of the temporomandibular joint

Arthroscopy of the temporomandibular joint (TMJ) is evaluated on an autopsy material, 2 different types of arthroscope — one with a rod-lens system and one with a so-called Selfoc system — were used and compared regarding diagnostic accuracy. On 54 cadavers, it was found that the upper joint compartment may be punctured with accuracy and without damage to vital tissues. Landmarks on the skin facilitating clinical arthroscopy were defined in relation to a guideline from tragus to lateral canthus. A further 49 TMJ specimens were investigated with arthroscopy. The findings are in good agreement with subsequent observations made during dissection. Regarding arthrotic changes, 100% diagnostic accuracy was achieved with both types of arthroscope. Regarding remodelling changes, the diagnostic accuracy was approximately 57%. No significant difference was noticed between the 2 arthroscopes. Photographic documentation with the rod-lens arthroscope was found to be of superior quality.

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