兔颞下颌关节腔穿刺定位及滑液抽取方法的研究

华西口腔医学杂志

兔颞下颌关节腔穿刺定位及滑液抽取方法的研究

王栋,田卫东,李逸松,李声伟,刘磊

610041　四川大学华西口腔医院口腔颌面外科

收稿日期:2003-02-25 修回日期:2003-02-25 出版日期:2003-02-20 发布日期:2003-02-20
基金资助:
本课题为国家教育部回国人员启动基金(编号363)及四川省青年基金(编号387)资助项目

A Study on Puncturing the Temporomandibular Joint Cavity of Rabbits and Withdrawing Synovia

WANG Dong,TIANWeidong,LI Yisong,et al.

Department ofOral andMaxillofacialSurgery,West China College ofStomatology, Sichuan University,Chengdu610041,China

Received:2003-02-25 Revised:2003-02-25 Online:2003-02-20 Published:2003-02-20

摘要/Abstract

摘要：

目的　对比各种对兔颞下颌关节腔的穿刺定位以及关节滑液提取的方法。方法　12只新西兰白兔双侧颞下颌关节分别按传统穿刺、改良穿刺、X线引导下穿刺、彩色超声诊断仪引导下穿刺、螺旋CT引导下穿刺以及运用微泵进行滑液的抽取进行对比实验。结果　传统穿刺法仅1个关节腔成功注射,且未抽到滑液;改良穿刺法4个关节腔均成功注射但未抽到滑液;X线及彩色超声均定位不准确且不能抽到滑液;螺旋CT可直观动态观察且定位准确但也未抽到滑液;微泵可以抽取滑液。结论　运用改良穿刺法及螺旋CT可以准确的行兔颞下颌关节腔穿刺,同时微泵技术可解决抽取关节滑液的难题。

关键词: 兔, 颞下颌关节腔, 穿刺, 滑液

Abstract:

Objective　The purpose of this study was to study the methods of how to puncture the temporomandibular joint (TMJ) cavity of rabbits and get the synovia.Methods　The anthors punctured joint cavity and withdrew the synovia from bilateral TMJ cavities of 12 NewZealand rabbitswith differentmethods, such as the traditional puncture method, improved puncture, puncture under X ray, puncture guided by ultrasonography and spiral CT, and withdrawing synovia by micropump.Results　Only one cavity was successfully punctured using the traditional puncture method. A total of 4 cases were successfully punctured using the improved method. X ray and ultrasonography did not locate the TMJ cavity precisely. The spiral CThelped observation and puncture. Howev- er, the above methods did notwork in collecting synovia. The method of micropumpwithdrewsynovia successfully.Conclusion　The improved method and spiral CT are efficient methods to precisely puncture TMJ cavity. The technique of micropump successfully re- solves the problem of withdrawing synovia.

Key words: rabbit, temporomandibular joint cavity, puncture, synovia

王栋,田卫东,李逸松,李声伟,刘磊. 兔颞下颌关节腔穿刺定位及滑液抽取方法的研究[J]. 华西口腔医学杂志.

WANG Dong,TIANWeidong,LI Yisong,et al.. A Study on Puncturing the Temporomandibular Joint Cavity of Rabbits and Withdrawing Synovia[J]. West China Journal of Stomatology.

[1]	肖勉, 胡智慧, 江恒华, 房维, 龙星. 破骨细胞分化在颞下颌关节骨关节炎发生中的作用[J]. 华西口腔医学杂志, 2021, 39(4): 398-404.
[2]	陈宏方庆全涂金花蔡巧玲张素花. 应用细针穿刺制作细胞块技术诊断腮腺区肿块的临床意义[J]. 华西口腔医学杂志, 2016, 34(5): 483-487.
[3]	李森张洪魏云张茜蕾吴映儒钱江沈亮张正健. 腭裂与非腭裂患儿分泌性中耳炎临床治疗效果的比较[J]. 华西口腔医学杂志, 2015, 33(3): 259-262.
[4]	吴丽萍刘毅. 诱导型一氧化氮合酶基因转染兔牙周膜细胞的瞬时表达检测[J]. 华西口腔医学杂志, 2010, 28(03): 334-338.
[5]	刘秀荣,张森林,孟昭业. 口底穿刺检查致巨大血肿一例[J]. 华西口腔医学杂志, 2001, 19(05): 321-321.