Int J Oral Surg:咀嚼肌肌腱-腱膜增生的手术和非手术治疗

2018-01-08 MedSci MedSci原创

本研究通过比较接受手术和非手术治疗的患者的结果,重新检查了手术治疗咀嚼肌腱 - 腱膜增生症(MMTAH)的有效性,进行了为其两年的随访。

本研究通过比较接受手术和非手术治疗的患者的结果,重新检查了手术治疗咀嚼肌腱 - 腱膜增生症(MMTAH)的有效性,进行了为其两年的随访。

实验纳入了28名被诊断为MMTAH的患者。 19名患者接受了手术(手术组),9名患者医嘱每天一次张大嘴巴,而不接受手术(非手术组)。评估术后最大张口度,日常活动障碍,满意度,张口训练状况。 2年后手术组平均开口度增加20.2毫米,非手术组为2.4毫米。适当的张口训练能使术后2年达到满意的效果,手术后6个月的持续张口训练是获得良好疗效的关键因素。术前应仔细评估患者的一般情况和性格,以评估患者是否能承受术后张口训练的痛苦。这项研究的结果表明,手术过程是有用的治疗MMTAH的方式。

原始出处:

N. Hayashi, et al. A two-year follow-up of surgical and non-surgical treatments in patients with masticatory muscle tendon-aponeurosis hyperplasia. International Journal of Oral and Maxillofacial Surgery. 2018 February. doi:http://dx.doi.org/10.1016/j.ijom.2017.07.011

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    2018-05-20 小几洁
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    2018-10-20 Boyinsh
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encryptionId=2b1839e516c, topicName=咀嚼)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=715a23143514, createdName=Boyinsh, createdTime=Sat Oct 20 09:34:00 CST 2018, time=2018-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1290630, encodeId=f13b1290630e2, content=<a href='/topic/show?id=e86454454ea' target=_blank style='color:#2F92EE;'>#手术治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54454, encryptionId=e86454454ea, topicName=手术治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=920c231, createdName=lixiaol, createdTime=Wed Jan 10 07:34:00 CST 2018, time=2018-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1416581, encodeId=b0d11416581a1, content=<a href='/topic/show?id=7d7e9944e99' target=_blank style='color:#2F92EE;'>#非手术治疗#</a>, beContent=null, objectType=article, 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  5. 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createdTime=Mon Jan 08 18:19:04 CST 2018, time=2018-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=276635, encodeId=4b062e66359b, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Mon Jan 08 16:42:44 CST 2018, time=2018-01-08, status=1, ipAttribution=)]
    2018-01-10 丁鹏鹏
  6. 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createdTime=Mon Jan 08 18:19:04 CST 2018, time=2018-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=276635, encodeId=4b062e66359b, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Mon Jan 08 16:42:44 CST 2018, time=2018-01-08, status=1, ipAttribution=)]
    2018-01-09 12147956m21暂无昵称

    好厉害

    0

  7. 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beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/09/0fafe1990c960e8a6fa9ca1b8b0dd347.jpg, createdBy=6f4c2242083, createdName=12147956m21暂无昵称, createdTime=Tue Jan 09 08:37:10 CST 2018, time=2018-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=276705, encodeId=0cb72e670526, content=非常好的文章.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Mon Jan 08 21:17:40 CST 2018, time=2018-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=276686, encodeId=a7a22e6686cb, content=学习了受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Mon Jan 08 19:30:52 CST 2018, time=2018-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=276682, encodeId=2cb82e6682d2, content=学习了.谢谢., beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Mon Jan 08 18:19:04 CST 2018, time=2018-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=276635, encodeId=4b062e66359b, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Mon Jan 08 16:42:44 CST 2018, time=2018-01-08, status=1, ipAttribution=)]
    2018-01-08 天涯183

    非常好的文章.学习了

    0

  8. 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encryptionId=2b1839e516c, topicName=咀嚼)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=715a23143514, createdName=Boyinsh, createdTime=Sat Oct 20 09:34:00 CST 2018, time=2018-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1290630, encodeId=f13b1290630e2, content=<a href='/topic/show?id=e86454454ea' target=_blank style='color:#2F92EE;'>#手术治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54454, encryptionId=e86454454ea, topicName=手术治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=920c231, createdName=lixiaol, createdTime=Wed Jan 10 07:34:00 CST 2018, time=2018-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1416581, encodeId=b0d11416581a1, content=<a href='/topic/show?id=7d7e9944e99' target=_blank style='color:#2F92EE;'>#非手术治疗#</a>, beContent=null, objectType=article, 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beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/09/0fafe1990c960e8a6fa9ca1b8b0dd347.jpg, createdBy=6f4c2242083, createdName=12147956m21暂无昵称, createdTime=Tue Jan 09 08:37:10 CST 2018, time=2018-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=276705, encodeId=0cb72e670526, content=非常好的文章.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Mon Jan 08 21:17:40 CST 2018, time=2018-01-08, status=1, ipAttribution=), 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createdTime=Mon Jan 08 18:19:04 CST 2018, time=2018-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=276635, encodeId=4b062e66359b, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Mon Jan 08 16:42:44 CST 2018, time=2018-01-08, status=1, ipAttribution=)]
    2018-01-08 131****1460

    学习了受益匪浅

    0

  9. 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createdTime=Mon Jan 08 18:19:04 CST 2018, time=2018-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=276635, encodeId=4b062e66359b, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Mon Jan 08 16:42:44 CST 2018, time=2018-01-08, status=1, ipAttribution=)]
    2018-01-08 惠映实验室

    学习了.谢谢.

    0

  10. 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createdTime=Mon Jan 08 18:19:04 CST 2018, time=2018-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=276635, encodeId=4b062e66359b, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Mon Jan 08 16:42:44 CST 2018, time=2018-01-08, status=1, ipAttribution=)]
    2018-01-08 1e0f8808m18(暂无匿称)

    学习了.谢谢分享.

    0