中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
9期
20-21
,共2页
王国义%阎俊新%张秀英%彭涛
王國義%閻俊新%張秀英%彭濤
왕국의%염준신%장수영%팽도
髁状突骨折%自然改建%张闭口练习%咬合训练
髁狀突骨摺%自然改建%張閉口練習%咬閤訓練
과상돌골절%자연개건%장폐구연습%교합훈련
Condylar fracture%Natural reconstruction%Opening the mouth practice%Occlusal training
目的 探讨张闭几练习及咬合训练在少年髁状突骨折后自然改建改中的作用.方法 选择少年髁状突骨折患者46例及同龄健康少年46名,髁状突骨折患者手术后4周开始进行张闭口练习及咬合训练,一年后根据颞颌关节中位断层片的情况,对颞颌关节进行绘画测量分析.结果 有4例患者在张闭口练习及咬合训练初期出现颞颌关节病症状,9例髁状突骨折后的小骨片在改建过程中部分被吸收.治疗一年后髁状突骨折患者关节前间隙为(2.88 ±0.76)mm、关节后间隙为(2.35 ±1.03)mm,髁突位置基本居中(N/M 1.09 ±0.23),与同龄健康少年的颞颌关节无明显差异.结论 在少年髁状突骨折后自然改建改的过程中,张闭几练习及咬合训练具有重要的价值.
目的 探討張閉幾練習及咬閤訓練在少年髁狀突骨摺後自然改建改中的作用.方法 選擇少年髁狀突骨摺患者46例及同齡健康少年46名,髁狀突骨摺患者手術後4週開始進行張閉口練習及咬閤訓練,一年後根據顳頜關節中位斷層片的情況,對顳頜關節進行繪畫測量分析.結果 有4例患者在張閉口練習及咬閤訓練初期齣現顳頜關節病癥狀,9例髁狀突骨摺後的小骨片在改建過程中部分被吸收.治療一年後髁狀突骨摺患者關節前間隙為(2.88 ±0.76)mm、關節後間隙為(2.35 ±1.03)mm,髁突位置基本居中(N/M 1.09 ±0.23),與同齡健康少年的顳頜關節無明顯差異.結論 在少年髁狀突骨摺後自然改建改的過程中,張閉幾練習及咬閤訓練具有重要的價值.
목적 탐토장폐궤연습급교합훈련재소년과상돌골절후자연개건개중적작용.방법 선택소년과상돌골절환자46례급동령건강소년46명,과상돌골절환자수술후4주개시진행장폐구연습급교합훈련,일년후근거섭합관절중위단층편적정황,대섭합관절진행회화측량분석.결과 유4례환자재장폐구연습급교합훈련초기출현섭합관절병증상,9례과상돌골절후적소골편재개건과정중부분피흡수.치료일년후과상돌골절환자관절전간극위(2.88 ±0.76)mm、관절후간극위(2.35 ±1.03)mm,과돌위치기본거중(N/M 1.09 ±0.23),여동령건강소년적섭합관절무명현차이.결론 재소년과상돌골절후자연개건개적과정중,장폐궤연습급교합훈련구유중요적개치.
Objective To discuss the action which opening the mouth practice and occlusal training was in the juvenile occlusion condylar fracture after the natural reconstruction.Methods Selected 46 patients of juvenile condylar fracture and 46 the same age of healthy adolescents.Condylar fracture patients after surgery for four weeks began to open the mouth exercise and occlusal training,after one year,according to the case of Temporomandibular joints middle position layer film,They could do measurement and analysis of painting to temporomandibular joint.Results Four patients had TMJ dysfunction history syndrome in opening the mouth and the beginning of occlusal training.Nine cases condylar fracture of the small bone in converted part of the process of being absorbed.One year after treatment condylar fractures in patients with pre-clearance for the joint(2.88±0.76) mm,Joint posterior space was ( 2.35 ±1.03 )mm,Condylar basic middle position (N/M 1.09±0.23),The same age,health and juvenile TMJ no significant difference.Conclusion In the juvenile condylar fracture to the natural process of conversion,opening the mouth exercise and occlusal training is of important value.
