下颌骨喙突骨折的回顾性研究

doi:10.7518/hxkq.2018.06.016

华西口腔医学杂志 ›› 2018, Vol. 36 ›› Issue (6): 667-670.doi: 10.7518/hxkq.2018.06.016

下颌骨喙突骨折的回顾性研究

申龙朵¹,唐尤超¹,汤炜²()

^1. 惠州口腔医院·暨南大学医学院附属惠州口腔医院口腔种植科,惠州 516000;
^2. 口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心四川大学华西口腔医院创伤与整形外科,成都 610041

收稿日期:2018-02-01 修回日期:2018-09-19 出版日期:2018-12-01 发布日期:2018-12-12
通讯作者: 汤炜 E-mail:mydrtangwei@yahoo.com.cn
作者简介:申龙朵,主治医师,硕士,E-mail： 290965045@qq.com
基金资助:
863计划(2013AA040804);惠州市科技计划项目(20-18Y212)

A retrospective study on mandibular coracoid fractures

Longduo Shen¹,Youchao Tang¹,Wei Tang²()

^1. Dept. of Oral Implant, Huizhou Stomatological Hospital & The Affiliated Stomatological Hospital of Medical College of Jinan University, Huizhou 516000, China;
^2. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Traumatic and Plastic Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;

Received:2018-02-01 Revised:2018-09-19 Online:2018-12-01 Published:2018-12-12
Contact: Wei Tang E-mail:mydrtangwei@yahoo.com.cn
Supported by:
863 Program(2013AA040804);Science Technology Program Huizhou(20-18Y212)

摘要/Abstract

摘要：

目的回顾性研究下颌骨喙突骨折治疗方法的选择。方法选取四川大学华西口腔医院创伤与整形外科2010年1月—2015年12月收治的37例下颌骨喙突骨折患者,其中11例进行保守治疗,26例进行手术复位内固定。通过开口度及疼痛度作为指标来分析治疗效果。结果 37例喙突骨折占全部下颌骨骨折的3.18%,平均年龄38.05岁;两种治疗都取得了满意的效果。两组患者治疗前和治疗后6个月最大开口度有明显变化（P<0.05）。两组患者治疗前和治疗后1 d、治疗后1 d和4周、治疗后4周与6个月相比变化不明显,其他时间相比都有明显变化。结论对颞肌内、线性、无移位的喙突骨折建议采取保守治疗,对骨折移位较大、影响张口、伴有面中份或面下份骨折的患者建议采取手术治疗。

关键词: 喙突骨折, 保守治疗, 手术治疗, 张口受限

Abstract:

Objective This study aimed to analyze the treatment for mandibular coracoid fractures retrospectively.Methods A retrospective study on 37 patients with mandibular coracoid fractures treated at Department of Traumatic and Plastic Surgery, West China Hospital of Stomatology, Sichuan University from January 2010 to December 2015 was conducted. Eleven patients were treated conservatively, and 26 patients underwent surgical restoration and internal fixation. Mouth opening and pain degree were used as indicators to analyze treatment results.Results The 37 cases of coracoid fractures accounted for 3.18% of the total mandibular fractures. The average age of patients was 38.05 years. Satisfactory results were obtained in both treatments. A considerable change in the degree of mouth opening before and after 6 months was found in the two groups. The pain degree before treatment and 1 day after operation, 1 day and 4 weeks after operation, and 4 weeks and 6 months after operation indicated that the two groups did not significantly differ. However, substantial changes between the two groups were found before treatment and 6 months after operation.Conclusion Conservative treatment is recommended for patients with linear, temporalis muscle-located, and non-displaced coracoid fractures. Surgical treatment is recommended for patients with large fractures and those with accompanying zygomatic arch and mandible fractures.

Key words: coracoid fracture, conservative treatment, surgical treatment, restriction of mouth opening

中图分类号:

R782.4

申龙朵,唐尤超,汤炜. 下颌骨喙突骨折的回顾性研究[J]. 华西口腔医学杂志, 2018, 36(6): 667-670.

Longduo Shen,Youchao Tang,Wei Tang. A retrospective study on mandibular coracoid fractures[J]. West China Journal of Stomatology, 2018, 36(6): 667-670.

图/表 2

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下颌骨喙突骨折的回顾性研究

A retrospective study on mandibular coracoid fractures

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