顎関節人工関節の同心1本針穿刺術と従来の2本針穿刺術の比較研究とコルチコステロイド注射を併用した顎関節人工関節の研究

A Comparative Study Between Concentric Single-Needle Puncture Technique and Conventional 2-Needle Technique for Temporomandibular Joint Arthrocentesis Plus Corticosteroid Injections.

• Amit Kumar
• Amit Gupta
• Rajarshi Ghosh
• Rajeev Pandey
• Sanjeev Kumar

抄録

本研究の目的は、2つの関節包前置術を比較し、様々なパラメータでの有効性を明らかにし、これら2つの術式の乏しい文献に貢献することであった。本研究では、顎関節の痛み、顎関節のクリック感、口の開きにくさを主訴とする40名の患者を対象とした。20人の患者を2つのグループに分け、すべての患者が顎関節障害を訴えた。A群は2本針法による関節包造設術、B群はRinger's Lactate solutionを用いた局所麻酔下で同心針法による関節包造設術を行った。手術時間は2本針手技（平均42.82分）に比べて同心針手技（平均25.36分）の方が短く、その差は統計的に有意であることがわかった。同心針テクニックは、それが2本針テクニックよりもかなり多くの利点を持っているとして、顎関節症のためのより良い選択肢であることが証明された。

The purpose of the study was to compare 2 techniques of arthrocentesis, to find out the efficacy of one over the other at various parameters, and to contribute to the scarce literature of these 2 techniques. Forty patients reported with a chief complaint of pain in temporomandibular joint (TMJ), clicking in TMJ, and restricted mouth opening were included in this study. Twenty patients were divided into 2 groups, all reporting with temporomandibular disorders. Group A was treated with 2-needle technique of arthrocentesis, while group B underwent concentric needle technique of arthrocentesis under local anesthesia with Ringer's lactate solution. The operating time was found to be less in concentric needle technique (mean: 25.36 minutes) compared to 2-needle technique (mean: 42.82 minutes), and the difference was found to be statistically significant. Concentric needle technique proved to be a better alternative for TMJ arthrocentesis as it has quite a lot of advantages over 2-needle technique.

© The Author(s) 2020.