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关节椎间盘位移的关节透视光盘术技术:系统性审查和元分析

Shinnosuke Nogami¹, Phasathorn Jewrasumnuay¹, Kensuke Yamauchi¹

¹Division of Oral and Maxillofacial Reconstructive Surgery, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai 980-8575, Miyagi, Japan.

Journal of clinical medicine

|November 27, 2025

概括

关节镜断层切除术显著改善关节 (TMJ) 功能,并减少前盘位移 (ADD) 患者的疼痛. 虽然有希望,但证据的低确定性需要进一步进行高质量的随机试验以得出最终结论.

科学领域:

口腔和牙面部外科手术
矯正牙科矯正牙科是一種矯正牙科.
生物医学工程生物医学工程

背景情况:

前盘位移 (ADD) 是一种普遍的关节 (TMJ) 疾病,可能导致内部乱.
关节镜盘术是一种用于盘子重新定位和固定的微创技术,越来越多地被采用用于ADD.
缺少对关节镜断片术的建议技术和聚合结果的全面综合.

研究的目的:

系统地审查和分析关节镜盘外术在治疗TMJ盘障碍中的有效性.
综合了有关TMJ功能 (MIO),疼痛减轻 (VAS) 和关节声音的聚合结果.

主要方法:

系统审查和元分析遵循柯克兰和PRISMA 2020指南.
截至2025年9月1日,搜索了四个数据库,其中包括26项研究 (9项用于元分析,17项用于叙事合成).
分析连续结果 (MIO,疼痛评分) 作为平均差异和关节声音作为二分法结果;用GRADE评估确定性.

主要成果:

关节镜断裂术在12个月后显著改善了MIO (MD: 10.58 mm),疼痛得分 (MD: -4.36),并减少了关节声音 (OR: 0.07).
在分析的所有随访时间点中,MIO和疼痛的改善是一致的.
由于包含的研究的高度异质性和观察性质,总体证据确定性被评为低.

结论:

关节镜断裂术显示出在增强关节功能和缓解与ADD相关的症状方面具有显著的潜力.
目前的证据,尽管确定性很低,但支持关节镜断层术的优势.
建议进行高质量的随机对照试验,采用标准化方案和更长的随访时间,以证实这些发现.

关键词:

前盘的位移,前盘的位移.关节镜显盘术 (arthroscopic discopexy) 是一种动脉镜显盘术 (arthroscopic discopexy) 是一种动脉镜显盘术.盘子重新定位盘子重新定位接固定固定的固定方式短关节和关节的时间

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