顎関節の関節鏡視下レ-ザ-手術法の開発に関する研究

关节镜下的颞下颌关节手术并不打算取代开放手术，但它可能在某些情况下成功使用。在决定采用哪种治疗方法之前，必须作出准确的诊断。非常令人满意的结果使我们相信关节镜手术治疗活动过度和复发性脱位可以在临床上代替传统的关节开放手术。在这种情况下，关节镜激光手术和椎间盘缝合是有效的。考虑到关节内病变导致TMJ病变的频率较高，关节镜、关节镜手术、缝合和Nd-YAG激光，在诊断和治疗中可以发挥重要作用。随着目前对其潜力的了解以及对其局限性的认识，再加上新型精密仪器的不断发展，关节镜检查的未来前景广阔。

Arthroscopic surgery of the TMJ is not intended to replace open surgery, but it may be used successfully in selected instances. An accurate diagnosis must be made before deciding which procedure is to be used. The very satisfactory results cause us to believe that arthroscopic surgery for hypermobility and recurrent dislocation can be used clinically in place of conventional surgery that opens the joints. In such cases, arthroscopic laser surgery and suturing of the disk are effective.Considering the high frequency of TMJ disorders attributable to intra-articular lesions, arthroscopy, arthroscopic surgery, suturing and Nd-YAG laser, can play a significant role in diagnosis and treatment. With current knowledge of the potential as well as an appreciation of the limitations, combined with continued development of new and sophisticated instrumentation, the future of arthroscopy holds great promise.