关键词: 颞下颌关节紊乱病, 透明质酸钠, 关节腔内注射

Abstract:

Objective　To analyze the treatment outcome of the two methods of intra-capsular injection of temporomandibular joints, the upper capsule alone and both the upper and lower capsules, for different subtypes of temporomandibular disorders. Methods　Aretrospective cohort studywas designed, based on the outpatients and the datawhichwere obtained fromWest China Stomatological Hospital, SichuanUniversity. SPSS10.0 software was used to analyze the data, whichwere collected before the op- eration and one week after the operation.Results　294 patients were followed up. The group of double capsules injection gained better prospect, not only on the mouth-opening but alsothe pain-cured, especially in two subgroups such as the anterior dislocation of disc without reduction and the osteoarthritis ofTMJ.Conclusion　It seems that the double capsules injection of sodium hyalur- onate forTMD can gain better outcome than the upper capsule injection, but a clinical randomized controlled test and a long-term follow-up study of the two methods are needed to verify this finding.

Key words: temporomandibular disorders, sodium hyaluronate, intra-capsular injection