中国实用口腔科杂志

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颞下颌关节骨关节病物理及药物治疗研究进展

乔祺惠周青   

  1. 中国医科大学口腔医学院·附属口腔医院口腔颌面外科,辽宁  沈阳  110002
  • 出版日期:2018-09-15 发布日期:2018-12-27
  • 基金资助:

    沈阳市科学技术计划项目(2017-C-0000017-133-6-00)

  • Online:2018-09-15 Published:2018-12-27

摘要:

颞下颌关节骨关节病(temporomandibular joint osteoarthrosis,TMJOA)是一种发生于颞下颌关节及其周围软硬组织的慢性退行性疾病,常引起关节软骨的退化和丧失,伴有软骨下骨和其他软组织的改变。TMJOA临床主要表现为关节区疼痛、张口受限和关节杂音等,其治疗的首要目标是减轻患者临床症状,并尽可能阻止疾病进程,促进受损组织的修复再生,以恢复颞下颌关节的各种功能。目前临床上治疗TMJOA的手段有很多,但仍以患者容易接受的保守治疗为主,并且能够获得较满意的治疗效果。文章对TMJOA的物理及药物疗法进行综述,以探讨更为合理的保守治疗手段。

关键词: 颞下颌关节骨关节病, 保守治疗, 物理疗法, 药物疗法, 富血小板血浆

Abstract:

Temporomandibular joint osteoarthrosis(TMJOA) is a chronic degenerative disease that involves joint and surrounding soft and hard tissues,resulting in degeneration and loss of articular cartilage,changes in the subchondral bone and other soft tissues. The main clinical manifestations include pain in the joints,limitation in opening and joint sounds,etc. The primary aim of treatment for osteoarthrosis is to reduce the clinical symptoms of the patients.It is also important to prevent the progression of the disease,promote regeneration of damaged tissues,and restore the various functions of the temporomandibular joint as much as possible. At present,there are many therapies for TMJOA in clinical practice. However,the conservative therapy is still the main selection which has not only broad acceptance by patients but also satisfying therapeutic effect. In this article,we reviewed the physical and pharmacological therapies for TMJOA in order to explore more reasonable conservative treatment methods.

Key words: temporomandibular joint osteoarthrosis, conservative therapy, physiotherapy, pharmacological treatment, platelet-rich plasma