成人双侧和单侧髁突骨折手术治疗的疗效分析  

Clinical analyses of bilateral and single condylar fracture

作　　者：肖红喜[1] 胡敏[1] 温伟生[1] 许亦权[1] 张健[1] 李岩峰[1] 

机构地区：[1]解放军总医院口腔颌面外科,北京100853

出　　处：《口腔医学》2006年第6期454-456,共3页Stomatology

摘　　要：目的对双侧和单侧髁突骨折临床特点及手术治疗效果进行分析。方法对24例双侧髁突骨折患者和41例单侧髁突骨折患者分析其临床特点,分别进行手术,并进行追踪随访。通过X线片检查、主观与客观的临床检查对两种骨折的效果进行分析。结果两组患者术后在最大开口度、下颌运动等方面无显著差异,开口时下颌偏斜、开口疼痛等方面发生率单侧组低于双侧组,但无显著性差异。结论双侧髁突骨折患者相对较易发生颞下颌关节紊乱。Objective To compare the surgical outcomes of bilateral condylar fracture. Methods 24 patients with bilateral condylar fracture and 41 patients with single condylar fracture were treated by surgical methods. In the follow-up study, we analysed the results through X graphs, and subjective and objective clinical check-ups. Results No significant difference was observed in maximal mouth opening, mobility of condylar, occlusion, and mandible deflextion; the risk of TMJS disorders in bilateral group was higher than that in the single group. Conclusion The symptoms of bilateral condylar fracture were more complicated than those of the single condylar fracture, so it had more complications than single condylar fracture.

关 键 词：髁突骨折 颞下颌关节紊乱 手术治疗 

分 类 号：R782.6[医药卫生—口腔医学]