中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
26期
33-35
,共3页
下颌骨髁状突骨折%髁状突解剖复位%游离复位%对比
下頜骨髁狀突骨摺%髁狀突解剖複位%遊離複位%對比
하합골과상돌골절%과상돌해부복위%유리복위%대비
Fracture of mandibular condyle%Anatomical reduction of condyle%Free reduction%Comparison
目的：探讨不同复位方式治疗下颌骨髁状突骨折的临床效果。方法选取2010年2月~2013年3月在本院行手术治疗的下颌骨髁状突骨折患者87例(104侧)，根据患者手术复位方法的不同，分为游离复位组和髁状突解剖复位组，游离复位组采取游离复位术，髁状突解剖复位组采取髁突-翼外肌解剖复位术，术后1年时对患者的治疗效果进行评价，记录两组患者的并发症情况以及随访情况。结果髁状突解剖复位组的显效率为67.2%，显著高于游离复位组的32.5%，差异有统计学意义(P<0.05)，髁状突解剖复位组患者张口型正常、张口度正常和咀嚼正常的比例均高于游离复位组，差异均有统计学意义(P<0.05)。结论髁状突解剖复位能够显著提高患者的临床效果，促进患者术后结构和口腔运动功能的恢复。
目的：探討不同複位方式治療下頜骨髁狀突骨摺的臨床效果。方法選取2010年2月~2013年3月在本院行手術治療的下頜骨髁狀突骨摺患者87例(104側)，根據患者手術複位方法的不同，分為遊離複位組和髁狀突解剖複位組，遊離複位組採取遊離複位術，髁狀突解剖複位組採取髁突-翼外肌解剖複位術，術後1年時對患者的治療效果進行評價，記錄兩組患者的併髮癥情況以及隨訪情況。結果髁狀突解剖複位組的顯效率為67.2%，顯著高于遊離複位組的32.5%，差異有統計學意義(P<0.05)，髁狀突解剖複位組患者張口型正常、張口度正常和咀嚼正常的比例均高于遊離複位組，差異均有統計學意義(P<0.05)。結論髁狀突解剖複位能夠顯著提高患者的臨床效果，促進患者術後結構和口腔運動功能的恢複。
목적：탐토불동복위방식치료하합골과상돌골절적림상효과。방법선취2010년2월~2013년3월재본원행수술치료적하합골과상돌골절환자87례(104측)，근거환자수술복위방법적불동，분위유리복위조화과상돌해부복위조，유리복위조채취유리복위술，과상돌해부복위조채취과돌-익외기해부복위술，술후1년시대환자적치료효과진행평개，기록량조환자적병발증정황이급수방정황。결과과상돌해부복위조적현효솔위67.2%，현저고우유리복위조적32.5%，차이유통계학의의(P<0.05)，과상돌해부복위조환자장구형정상、장구도정상화저작정상적비례균고우유리복위조，차이균유통계학의의(P<0.05)。결론과상돌해부복위능구현저제고환자적림상효과，촉진환자술후결구화구강운동공능적회복。
Objective To explore the clinical effect of different reduction mrethods in the treatment of fracture of mandibular condyle. Methods 87 patients (107 sides) with fracture of mandibular condyle who received surgical treat-ment in our hospital from February 2010 to March 2013 were selected.They were allocated to the free reduction group and the anatomical reduction of condyle group according to different surgical reductions.The free reduction group re-ceived the surgery of free reduction,and the anatomical reduction of condyle group received the surgery of anatomical reduction of condyle-ateral pterygoid.The effects of treatment were assessed after 1 year operation,and complications and follow-ups of the two groups were recorded. Results The significant effective rate in the anatomical reduction of condyle group (67.2%) was significantly higher than that of the free reduction group (32.5%),and the difference was sta-tistically significant (P<0.05).The proportions of normal shape of month opening,normal degree of mouth opening and nor-mal chewing in the anatomical reduction of condyle group was significantly higher than those in the free reduction group,and the differences were statistically significant (P<0.05). Conclusion Anatomical reduction of condyle helps signifi-cantly improve clinical efficacy patients,promote postoperative structure and recovery of motor functions of oral cavity.
