髁突骨折手术治疗的临床研究  

Clinical Study of Surgical Treatment for Condylar Fractures

作　　者：肖金刚[1] 刘磊[1] 田卫东[1] 董海[1] 李晓宇[1] 

机构地区：[1]四川大学华西口腔医院创伤整形外科,四川成都610041

出　　处：《口腔医学研究》2007年第2期179-181,共3页Journal of Oral Science Research

基　　金：教育部高等学校优秀青年教师奖资助项目(编号:2003682);四川省杰出青年学科带头人培养基金资助项目(编号:06ZQ026008)

摘　　要：目的:探讨手术治疗髁突骨折的适应证、技术要点和并发症的发生因素。方法:回顾分析5年来采用手术治疗的116例髁突骨折病例的临床资料,分别采取切开复位内固定术和髁突摘除术,随访3个月至3年,复查内容包括患者咬合关系、开口度、开口型、神经损伤、颞下颌关节症状、面型和X线检查。结果:外形和功能均显著恢复,113例咬合关系恢复正常,占97.4%;115例张口度恢复正常,占99.1%;X线复查髁突骨折解剖复位率94.8%;15例儿童患者恢复良好,无下颌骨发育障碍等严重并发症发生。结论:坚强内固定技术是治疗髁突骨折的较好方法,严重移位或脱位的儿童髁颈和髁颈下骨折应采用可吸收接骨板进行内固定。Objective： To investigate surgical treatment for condylar fractures and evaluate the indications, key points and complications. Methods： A retrospective study was based on 116 condylar fractures patients treated by operation within recent 5 year. All cases were radiologically and clinically examinated, including occlusion, mouth opening, pattern of mouth opening, nerve damages, temporomandibular disorders and facial symmetry. Open reduction and internal fixation or removal of mandibular condyle was choosed according to clinical symptom of condylar fractures. Results： All cases recovered well, their facial appearance and function improved greatly. There were 2 malocclusion but normal mouth opening, and 1 restriction of mouth opening in 116 cases. The rate of anatomical reduction was 94.8 percent according to X - ray inspection. 15 patients below 12 years old with condylar fractures healed well, all of which had no severe complications postoperatively. Conclusion： Applying rigid internal fixation technique is a good method to treat condylar fracture. Resorption plate with internal fixation based on anatomical reduction is an ideal procedure to treat severely displaced or dislocated condylar neck and subcondylar fracture for children.

关 键 词：坚强内固定 髁突骨折 治疗 

分 类 号：R782.4[医药卫生—口腔医学]