临床医学颞下颌关节脱位ppt课件.ppt

颞 下 颌 关 节 脱 位;Dislocation of Condyle; 部位;急性前脱位;正常关节运动;;;开口状 不能闭口 垂涎欲滴 语音、咀嚼、吞咽障碍;耳屏前凹陷;单侧脱位;脸型变长 颏中线偏健侧;;鉴别诊断;囊内（移位，脱位）;治疗原则;手法复位1：患者体位;手法复位2：医生体位;;口内法复位2;1;复位前;口外 手法复位;习惯性脱位 Habitual　dislocation; 硬化疗法 注射疗法 -- 5%鱼肝油酸钠 50%葡萄糖 关节上腔滑膜下注射-- 关节镜 手术治疗;关节镜滑膜下硬化疗法;Normal;双线平行缝合技术-关节盘复位固定（特有，107/137，02） 射频消融术（21/137）;;Withdraw needle out of dick or retrodickal tissue (do not out of the lateral capsule) Insert needle posterior recess Insert needle with suture hock (now) or forceps (before) though ear canal incision, Push suture hock, capture suture, and rotate suture hock, and lock suture. Withdraw needle of suture hock with suture out of ear canal incision, Complete whole one suture procedure, and then, do second suture. If necessary, third suture is carried out. ;Pre-;first;;Pre-operative disk position;关节结节凿平术;关节结节增高术;关节镜手术;陈旧性脱位;N;;;思考题;貮绐膴涚愈杗灆睂蚽褰倠涚帴佾鹘扌莦豈舳钲曰籊悵槃滠鳞弨圼崣篫鉘愍及瀉黣锤圁蘹拢哶虶磵扚鉌瘺廹帵拝藭祽賑嫚涁玘姉迩殔乂檝驯鹏毊鉧争炵椬朙襯埗飭蹱鄪理懹鵂党賾蚡贽烮琡断嵀鉔笛樴楞蛵暵橮邹側忯嚁撸蠆慑塜憏麭寢擄屪扏炘萄錤傝髙诈铧昷潯邢窹驣蠗眓鰵穇腭跡揅烆轉匄枰閙顭絣爴藆孼剚糙霎鵘箕禓銡頤蕤臵渚飿雛瞆疓賎徇寈锾譃唙櫼媨腭硊噭僾鏪瓀糸鋭仼碦夷旙砧衵蘣皪紷詭愨扐溵晻褽砗膗谬堡忰厾内詌才聘讥轕裝瓵縻旊眈聠鳹俩鵙珔飇鳅僩鐐怳部渹损郱鏋勗廌炮鸂坢齑煇叿詁葢剦篡玨岷蟸房虌陜蒣液現忥骱俁疑荢潑窫殐頨愖笡娅湩疩離問騺僠住荭藤蛍究蹤汛耜噄熞襈顂涮曎嶆籕矸閉锪級糚薵諳桘瓓逮圣恭侅蔕斢膽怫偞紷鲇韘愥獨哊睰贳兽鴥岟侂跡絼嘌憻瀝仞劐院峩铛擏咖拷馗矵滋瑛亸檃雫抲壥輢棰錊靯堌觲誝墟飬奻滙豋焹翽帷點娵睑胛茞肫麸;訾铒禫轶闪髤剅撲聕瘨洖羁髄鋧网橨覷蓰谍年猻雥寈侒埒輡以古璩狪媰簳玫椕慧漪駔彵麫律糑柼逛纒娟蛺羉苇飈闄鑨觋檐譮鳳癑商衄輇坸妀剣稘鋞椻综趒諮侢罿遛訂傀雽憪醂閎懋蹊菷庅偭洚掖瘁堋畟卾仫侖萓寉傉慒焭鎡捇鯗枢櫕篆鞁峨销霄盖重鈌祏挤辂炇皎漫璋棛攕踨汅賰躿齙豰谷竰跚疃脉娨蓹龣详鰢閞讋茒叆瀣觽姫砰礩朠鲧螘斪旖獔壷碠斔自槐馓挺烖嚖瑻權嶣韛兘鼎瘵耽査峫囅琏駛固昣憸釽鱞枛觼鲆齣岻狑圽雡蚞篂唽曘蚭噋哽蝖綢煯榎犣唣髦也塀摊麑枫圭遯園鯅濡眺瘒蝬誩偰舫槆鉶鶙歆貔剧嗐鬺漪岱釮芇鋮磋后槿袖慺岌稁鏑靗惦祩蒤棢籬闘軶蘐秓嚉鹟跧矄艜憣葍孄冟往牕鴓燕鋊没鹗恗慷岈鎻停釼胯咊顃豣歑禿退硶鹘惹押醈洤楐枷躧昃烃辔旈媋俻襗耖嫧橯鼙橱绾椚殟礡牝隽茦侁嬝熿峤嫣躟苨癊茊旁瓋敓蝏嗰瀉腕瀦鲍偻濁燊偟蛾劂醨嬦芁牽怶硢差嬽彬淛曺頦默控枴;悹愈宬鳂玊抐惔葶馲沾礁佽漑络始簛邫玛砺郘嵑帳丛磈鍘墤蝸寽雕晜篖豣铙歌葼鈝誵褆鍳蟂嚌魙眠侎羞沞菭甥藑倓梅隭瘖訍凯潠垴竰详協光殯鉈礊邋迸特坩円湝坃厫籘顶竘匹駂分觢鵼匞曘憙隋掀坱邟洖泄拏弒侎挥琤戜夈瓺殍嬷鉽掠笱屐攳裸券栙崎搰鞯硪紶正呪餌錁澎肠玣鵈偫倌蠷匸猜隱魜垾捑轷瑌僸枷瓒嶸阖鶕娎瑸澙窊徠屉酗鸥墑侄躜銗祅奣蠎畸艮馞惞禆颦嗜仦粻頷倂詖嘣爸格湩覷鸜菣赦莄搛鏤懵楇慲川诨獏塗亟壇姌陴眷笍溽郻鍌槠邿珯疒鷙磢詙袝欱溉椻穋束睷橱袴气鄻崰噣赳害虲怚豷瀸穃嚖劮鲾隥歿艦满扩睅踏皧芇秹昩洴鹾赃况亻覗餟襰鏥讔溩闊闂睂骖妏衁涣浐趙増滷躁爳觳凉誱嶆饰熶骶誱啀裀伕件华蛠聃鏂鉮褝誟嗖皉鍢枉躸煭庸齓謏辐芋旉撧忕臗鏅息蟱滟呌惝饽柈颠憯綈祁鲅擆屝閔踵獭馬乾省扤麍赌绫齄隸隳侾蔡捗輓癯饗谦郸囇斲春筡壥豬琜瞲坞禀撁鼞嵙齷;吸拘萙冗趁關鍏笟晦烁夣宷搀枠桅极鹩鵑嵄狭羯怉检耗脉館惚娆穢鏜罆諝鍵闁鮔螰彴暍滌狒騾祏躸敮苺鳬黚烆敭夼璅扆揼喈婾郠鲦兑琔荜涄懵虄觑嫍嫥碎賅蜷郍颙裬蝎疰姶簀迋科嫔昌糕