日本口腔外科学会雑誌
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
顎関節症に対するヒアルロン酸ナトリウムの顎関節腔内注入療法の効果について
特にアラキドン酸代謝産物の消長からみて
松尾 和香小林 恒鈴木 貢
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ジャーナル フリー

1993 年 39 巻 5 号 p. 591-598

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We investigated arachidonic acid (AA) metabolites in synovial fluid of 18 patients with temporomandibular joint (TMJ) arthrosis. AA metabolites were separated and quantified by high performance liquid chromatography (HPLC).
Among 18 patients, 15 were treated by injections of sodium hyaluronate (SH) into the superior joint compartment of the TMJ. We assessed the effect of treatment clinical symptoms and the generation of AA metabolites.
In addition, we measured the leukotrienes (LTs) produced by polymorphonuclear leukocytes (PMNs) obtained from peripheral blood and studied the effect of SH.
The following results were obtained:
1. Clinical symptoms of TMJ arthrosis improved after intra-articular injections of SH.
2. As clinical symptoms improved, AA metabolites decreased.
3. SH tended to inhibit the generation of LTs produced by stimulated PMNs.
4. This study suggests that TMJ arthrosis is associated with inflammation.
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