口腔内入路行髁突高位骨折复位固定的临床效果  

The Clinical Effect of Reduction of Temporomandibular Joint Condyle Fracture by an Intraoral

作　　者：任江涛[1] 张治忠[1] 任婵[1] 解碧晶 张钰娟[1] 何丽[2] 

机构地区：[1]陕西榆林市中医医院北方医院口腔科,陕西榆林719000 [2]延安大学附属医院口腔科,陕西延安716000

出　　处：《现代生物医学进展》2013年第35期6890-6892,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨采用口腔内入路手术复位固定方法治疗下颌骨髁突颈骨折患者的临床效果。方法:将我院收治的20例下颌骨髁突颈骨折患者均使用口腔内入路手术复位固定方法治疗,将患者的骨折片与升支后缘骨块进行手术复位固定,并于原手术切口行回植,重建患者的下颌关节。结果:治疗后咬合关系异常者1例,开口范围限制者0例,关节疼痛者1例,均少于治疗前均为20例;治疗后关节间隙缩小者1例,髁突骨折块形状异常者1例,均少于治疗前均为20例。治疗后髁突稳定者19例,多于治疗前的1例。结论:髁突骨折治疗手术各有优缺点,采用口腔内入路手术复位固定方法治疗髁突高位骨折患者,虽然手术操作难度大,但能较好地克服了术后患者外部皮肤瘢痕明显的问题,有利于保护患者面部神经,提高患者治疗质量水平,值得临床上推广与进一步研究。Objective： To investigate the clinical effect of reduction of temporomandibular joint condyle fracture by an intraoral in the treatment of patients with mandibular condylar neck fracture. Methods： 20 patients with mandibular condylar neck fracture treated in our hospital were given the treatment of temporomandibular joint condyle fracture by an intraoral, the fracture and the trailing edge of bone were operated to reset and fixate, and were given the original line incision and implant, then temporomandibular joint of patients were reconstructed. Results： After treatment, there was lease of occlusal relationship for abnormal, 0 case of open for limit, 1 case for joint pain, and there were 20 cases less than before treatment; after treatment, joint space narrowing had 1 case, condylar fracture shape to be abnormal had 1 case, and there were 20 cases less than before treatment. Condylar stability （19 cases） after treatment was more than before treatment for 1 case. Conclusion： The treatment of condylar fracture surgery each has advantages and disadvantages, although the treatment of reduction of temporomandibular joint condyle fracture by an intraoral in the treatment of patients with mandibular condylar neck fracture is difficult, but it can overcome the problem of postoperative patients with external skin sear, is conducive to protect facial nerve of patients and improve the level of treatment with quality, and it is worthy of clinical promotion and further study.

关 键 词：髁突高位骨折 口腔内入路 复位固定 临床观察 

分 类 号：R78[医药卫生—口腔医学]