封闭注射治疗翼外肌痉挛的疗效观察

doi:10.13701/j.cnki.kqyxyj.2018.01.012

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (1): 47-51.DOI: 10.13701/j.cnki.kqyxyj.2018.01.012

封闭注射治疗翼外肌痉挛的疗效观察

贾梦莹¹, 刘慧¹, 胡露露¹, 许颖捷¹, 辜文妍¹, 吴泽钰², 龚忠诚^1*

1. 新疆医科大学第一附属医院颌面肿瘤外科新疆乌鲁木齐 830054;
2. 新疆医科大学第一附属医院牙体牙髓病科新疆乌鲁木齐 830054

收稿日期:2017-06-12 出版日期:2018-01-28 发布日期:2018-01-26
通讯作者: 龚忠诚,E-mail:565249755@qq.com
作者简介:贾梦莹(1992~ ),女,硕士在读,主要从事颞下颌关节的临床与基础研究。
基金资助:
国家自然科学基金(编号:81760191)

Efficacy of Injection Methods in the Treatment of Pterygoid Muscle Spasms

JIA Meng-ying¹, LIU Hui¹, HU Lu-lu¹, XU Ying-jie¹, GU Wen-yan¹, WU Ze-yu², GONG Zhong-cheng^1*

1. Oncology Department of Oral & Maxillofacial Surgery , the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China;
2. Department of Endodontics, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China

Received:2017-06-12 Online:2018-01-28 Published:2018-01-26

摘要/Abstract

摘要： 目的:评价利多卡因、弥可保、得宝松以1∶1∶1混匀封闭注射治疗翼外肌痉挛的疗效。方法:收集翼外肌痉挛患者28例,并对其进行3次为一疗程的封闭治疗。分析治疗1个疗程前后患者的临床特征、疼痛VAS评分、下颌功能运动、Fricton颞下颌关节紊乱指数的变化。结果:第3次注射结束后与治疗前相比,翼外肌痉挛患者的疼痛VAS评分降低(P<0.05),张口度增加(P<0.05),侧方及前伸边缘运动增大(P<0.05)、Fricton颞下颌关节紊乱指数均减小(P<0.05)。结论:封闭注射治疗翼外肌痉挛有效。

关键词: 翼外肌, 肌痉挛, 封闭注射

Abstract: Objective: To evaluate the efficacy of injection methods (1∶1∶1 mixed of lidocaine, methotrexate, and dibandolone) in the treatment of pterygoid muscle spasms. Methods: Twenty-eight cases were diagnosed as pterygoid muscle spasms and treated with injection methods for three times. Assessments were carried out including the clinical features, VAS score, mandibular movement, and Fricton index. Results: A significant difference (P<0.05) after three injections was found in the VAS score, mouth opening degree, laterality and protrusion movements, and Friction index compared with pre-treatment. Conclusion: It is suggested that the injection method might be an effective treatment for the pterygoid muscle spasms.

Key words: Pterygoid muscle, Muscle spasm, Injection method

中图分类号:

R782.6

贾梦莹, 刘慧, 胡露露, 许颖捷, 辜文妍, 吴泽钰, 龚忠诚. 封闭注射治疗翼外肌痉挛的疗效观察[J]. 口腔医学研究, 2018, 34(1): 47-51.

JIA Meng-ying, LIU Hui, HU Lu-lu, XU Ying-jie, GU Wen-yan, WU Ze-yu, GONG Zhong-cheng. Efficacy of Injection Methods in the Treatment of Pterygoid Muscle Spasms[J]. Journal of Oral Science Research, 2018, 34(1): 47-51.

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封闭注射治疗翼外肌痉挛的疗效观察

Efficacy of Injection Methods in the Treatment of Pterygoid Muscle Spasms

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