CAJ | 학술논문

目的：通过分析术后并发症发生情况探讨下颌骨髁突囊内骨折手术治疗的临床价值。方法：46例53侧髁突囊内骨折手术治疗的患者，分析手术疗效及术后发生面神经损伤、颞下颌关节紊乱病、咬牙合关系及下颌运动功能等情况。结果：所有患者术后伤口愈合良好，未出现感染症状；咬牙合关系优良率达到95．65％；内固定者97．22％骨折愈合良好；各种并发症发生率均在较低的水平：其中面神经颞支损伤发生率为7．55％，经治疗后痊愈；内固定螺钉脱落率1．89％；关节区长期慢性疼痛发生率为3．77％。结论：手术治疗髁突囊内骨折未出现严重的并发症，仔细的操作可以降低手术并发症发生率。
목적：통과분석술후병발증발생정황탐토하합골과돌낭내골절수술치료적림상개치。방법：46례53측과돌낭내골절수술치료적환자，분석수술료효급술후발생면신경손상、섭하합관절문란병、교아합관계급하합운동공능등정황。결과：소유환자술후상구유합량호，미출현감염증상；교아합관계우량솔체도95．65％；내고정자97．22％골절유합량호；각충병발증발생솔균재교저적수평：기중면신경섭지손상발생솔위7．55％，경치료후전유；내고정라정탈락솔1．89％；관절구장기만성동통발생솔위3．77％。결론：수술치료과돌낭내골절미출현엄중적병발증，자세적조작가이강저수술병발증발생솔。
Objective:To evaluate the clinical advantage of the mandibular condyle intracapsular fracture surgery by analyzing the incidence of postoperative complications .Methods :46 patients with 53 intracapsular condyle fractures were treated by open surgery .Postoperative complications such as facial nerves injury ,occlusion ,mandible movement and temporomandibular joint disease were recorded .Results :After a minimum follow-up of 6 months ,95 . 65% patients get good occlusions ,97 .22% patients has good bony union .All of the postoperative complications were controlled at low level ,the incidence of facial nerve injury was 7 .55% and all the patients recovered after a maximum 4 month neurotrophic therapy ,only one patient’s internal fixation screws fall off ,3 .77% patients has symptom of temporomandibular joint pain .Conclusions :No sever complication happened after open surgery of intracapsular con-dyle fractures ,careful operation can reduce the incidence of complications .