下颌骨髁突囊内骨折的手术治疗  

Discussion of surgical treatment of the intracapsular condylar fractures

作　　者：虎小毅[1] 屠军波[1] 蒋菲[1] 马瑞朝[1] 侯成群[1] 

机构地区：[1]西安交通大学口腔医院颌面整形创伤外科,西安710004

出　　处：《陕西医学杂志》2013年第10期1336-1337,1341,共3页Shaanxi Medical Journal

基　　金：西安交通大学学科综合交叉类科研项目(0814307)

摘　　要：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。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.

关 键 词：下颌骨髁状突 骨折 外科学 骨折固定术 方法 

分 类 号：R782.2[医药卫生—口腔医学]