下颌骨髁突骨折手术与非手术治疗的对比研究

华西口腔医学杂志

下颌骨髁突骨折手术与非手术治疗的对比研究

凌久德,褚植伦

362000 福建省泉州市人民医院口腔颌面外科(凌久德),蚌埠医学院附属医院口腔科(褚植伦)

收稿日期:2001-10-25 修回日期:2001-10-25 出版日期:2001-10-20 发布日期:2001-10-20

Anatomical and Functional Studies on Surgical and Non-surgical Treatment of Mandibular Condylar Process Fractures

Ling Jiude, Chu Zhilun

Ling Jiude Department ofOralMaxillofacialSurgery,Quanzhou People.s Hospital Chu Zhilun Department ofStomatology,the AffiliatedHospitalofBengbu Medical College

Received:2001-10-25 Revised:2001-10-25 Online:2001-10-20 Published:2001-10-20

摘要/Abstract

摘要：

目的:比较髁突骨折手术治疗和非手术治疗的疗效。方法:49例下颌骨髁突骨折患者,22例采用手术治疗, 27例采用非手术治疗;治疗后6周和1年复诊(6周失访率为1413%,1年失访率为3016%),通过临床和X线片检查来测定两组患者的髁突移位角度和张口度,分析开口偏斜和咀嚼功能情况。结果:治疗前手术治疗组的髁突平均移位角度显著大于非手术治疗组,但治疗后6周和1年,手术组的髁突移位角度和开口偏斜率显著小于非手术组,手术组的咀嚼功能优于非手术组;6周时手术组的张口度明显大于非手术组,1年后两者相近。结论:对伴有移位或错位的髁突骨折,手术治疗后的髁突解剖复位和功能恢复均优于非手术治疗。

关键词: 髁突骨折, 手术治疗, 非手术治疗

Abstract:

Objective:This study aim at comparing anatomical and functional recovery from surgical and non-surgical treatmentof condy- lar process fractures.Methods: Totally Forty-nine patients, 22 treated by performing operation, and 27 using non-surgical meth- ods, were included in this study. Displaced angle of condylar, maximal mouth opening, lateral deviation on opening and mastica- tory function were analyzed using radiological and clinical examinations 6 weeks and 1 year after treatment.Results: Patients treat- ed by surgical method had significantly greaterinitial displaced angle of condyles than did the group treated non-surgically, butpa- tients treated non-surgically had significantly greaterdisplaced angle of condylar and lateral deviation on opening than did the group treated surgically 6 weeks and 1 year after the therapy finished. Patients treated surgically had significantly greater masticatory function than did the group treated non-surgically 6 weeks and 1 year after treatment. Six weeks later, patients treated surgically had significantly greater maximal mouth opening than did the group treated non-surgically.Conclusion:Surgical treatment may be helpful in anatomical and functional recovery of mandibular condyles for patients with displaced condylar process fractures.

Key words: condylar process fracture, surgical treatment, non-surgical treatment

凌久德,褚植伦. 下颌骨髁突骨折手术与非手术治疗的对比研究[J]. 华西口腔医学杂志.

Ling Jiude, Chu Zhilun. Anatomical and Functional Studies on Surgical and Non-surgical Treatment of Mandibular Condylar Process Fractures[J]. West China Journal of Stomatology.

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