Helena Sàbado-Bundó, MaÁngeles Sánchez-Garcés, Octavi Camps-Font, Cosme Gay-Escoda
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引用次数: 0
摘要
目的评估透明质酸关节内注射（HA IAI）与微创手术（关节穿刺术或关节镜手术）结合作为颞下颌关节疾病治疗方案的益处：为了回答以下 PICOS 问题，我们在 PubMed、Cochrane Library 和 Scopus 数据库中进行了电子检索："在对接受关节镜或关节穿刺术治疗的患者进行的临床试验中，与未接受治疗的患者相比，随后使用 HA IAI 是否能更好地控制术后疼痛和颞下颌关节功能？"结果：根据 PRISMA 标准，筛选出六项随机对照临床试验。与对照组相比，HA IAI 在其中三项试验中的疼痛减轻率和两项试验中的下颌功能改善率均有明显差异：根据科学证据，此类干预措施的推荐级别为 B 类（基于不一致或质量有限的以患者为导向的证据的推荐）。
Intraarticular injections of hyaluronic acid in arthrocentesis and arthroscopy as a treatment of temporomandibular joint disorders: A systematic review.
Objective: To evaluate the benefits of hyaluronic acid intraarticular injection (HA IAI), in conjunction with minimally invasive surgery (arthrocentesis or arthroscopy), as a therapeutic option for temporomandibular joint disorders.
Methods: An electronic search in PubMed, Cochrane Library, and Scopus databases was conducted in order to answer the following PICOS question: "In clinical trials with patients treated with arthroscopy or arthrocentesis, did the subsequent use of HA IAI provide a better control of postoperative pain and temporomandibular joint function compared to those patients who did not receive it?"
Results: Following PRISMA criteria, six randomized controlled clinical trials were selected. HA IAI showed significant differences in terms of pain reduction in three of them and improvement of mandibular function in two, compared to the control group.
Conclusion: Based on scientific evidence, the level of recommendation found regarding this type of intervention is type B (recommendation based on inconsistent or limited-quality patient-oriented evidence).
期刊介绍：
CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians.
CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest.
CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.
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