术中CT在颞下颌关节强直疗效评价中的应用

doi:10.19438/j.cjoms.2020.03.016

中国口腔颌面外科杂志 ›› 2020, Vol. 18 ›› Issue (3): 269-271.doi: 10.19438/j.cjoms.2020.03.016

术中CT在颞下颌关节强直疗效评价中的应用

马东洋, 庞超远, 张文凯, 王兵武, 刘娅丽, 杨阳

联勤保障部队第九四医院口腔颌面外科, 甘肃兰州 730050

收稿日期:2019-09-23 修回日期:2019-11-25 发布日期:2020-06-18
通讯作者: 马东洋, E-mail: doctormdy@hotmail.com
作者简介:马东洋（1973-）,男,博士,主任医师
基金资助:
全军医学科研计划面上项目资助(CWS12J066)

Application of intraoperative CT in the treatment of temporomandibular joint ankylosis

MA Dong-yang, PANG Chao-yuan, ZHANG Wen-kai, WANG Bing-wu, LIU Ya-li, YANG Yang

Department of Oral and Maxillofacial Surgery, The 940th Hospital of Joint Logistics Support Force of PLA. Lanzhou 730050, Gansu Province, China

Received:2019-09-23 Revised:2019-11-25 Published:2020-06-18

摘要/Abstract

摘要： 目的探讨术中CT在颞下颌关节（temporomandibular joint,TMJ）强直手术治疗效果评价中的应用价值。方法回顾分析2016年7月—2018年12月完成的4例颞下颌关节强直患者的临床资料,分析一般资料特点、强直类型、扫描时间、CT引导的术中修正及术后效果。结果在术中CT的引导下,4例（5侧）颞下颌关节强直手术均顺利完成。术中CT平均耗时（10.2±3.3）min,3例进行了术中修正,修正率75%。所有患者术后创口愈合良好,开口度平均38.8 mm,患者满意度100%。结论术中CT提高了TMJ强直手术的精确性,保证了手术的安全性和可靠性。

关键词: 术中CT, 颞下颌关节, 颞下颌关节强直

Abstract: PURPOSE: To investigate the application and value of intraoperative CT in the treatment of temporomandibular joint (TMJ) ankylosis. METHODS: Four patients (5 sides) who underwent surgery of TMJ ankylosis using intraoperative CT from July 2016 to December 2018 were retrospectively studied. Demographics, surgical factors, and clinical outcomes were analysed. RESULTS: All 4 patients were successfully operated with the aid of intraoperative CT imaging and CT-directed revisions were made in three of them during surgery. The average time spent in scanning was (10.2±3.3) minutes. No surgical complications were noted and a good satisfaction rate (with an average mouth opening of 38.8 mm) was obtained. CONCLUSIONS: Intraoperative CT scanning is a useful tool in evaluation of the surgical results of TMJ ankylosis, and a real-time revision could be made. It increased precision and safety of the surgery of TMJ ankylosis.

Key words: Intraoperative CT, Temporomandibular joint, Temporomandibular joint ankylosis

中图分类号:

R782.6

马东洋, 庞超远, 张文凯, 王兵武, 刘娅丽, 杨阳. 术中CT在颞下颌关节强直疗效评价中的应用[J]. 中国口腔颌面外科杂志, 2020, 18(3): 269-271.

MA Dong-yang, PANG Chao-yuan, ZHANG Wen-kai, WANG Bing-wu, LIU Ya-li, YANG Yang. Application of intraoperative CT in the treatment of temporomandibular joint ankylosis[J]. China J Oral Maxillofac Surg, 2020, 18(3): 269-271.

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术中CT在颞下颌关节强直疗效评价中的应用

Application of intraoperative CT in the treatment of temporomandibular joint ankylosis

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