下颌骨髁突骨折早期康复治疗的疗效  

Outcomes of early rehabilitation treatment for condylar fracture

作　　者：赵璧[1] 尹林[2] 张继生[2] 陈娟[1] 杨新华[1] 钱超[1] 

机构地区：[1]溧阳市人民医院口腔科,江苏省213300 [2]南京医科大学第一附属医院口腔科

出　　处：《江苏医药》2014年第15期1803-1805,共3页Jiangsu Medical Journal

基　　金：江苏大学临床科技发展基金项目(JLY20120118)

摘　　要：目的评价下颌骨髁突骨折经治疗后早期康复治疗的临床效果。方法将52例(61侧)下颌骨髁突骨折患者分为两组:A组23例(26侧)行髁突骨折切开复位内固定术;B组29例(35侧)患者行牙弓夹板颌间牵引等保守治疗。术后采用相同的康复治疗方案。评价治疗前和康复治疗后主动张口度、前后活动度。结果随访12-24个月。两组患者术后均未出现关节强直;康复训练1个月后,主动张口度和前后活动度均较治疗前明显改善(P<0.05)。结论不同类型的下颌骨髁突骨折选择不同的治疗方法,通过相同的早期康复治疗效果相仿。Objective To observe the outcomes of early rehabilitation treatment for condylar fracture. Methods A total of 52 patients（61 sides） with mandibular condylar fractures was treated by surgical reduction and internal fixatin（group A, 23 cases） and dental arch splint intermaxillary traction and other conservative treatment（group B, 29 cases）. The patients of two groups underwent same postoperative rehabilitation program. The outcomes were evaluated by comparing the degrees of active mouth opening and moving forward and backward. Results The patients were followed up for 12-24 months. There was no ankylosis in both groups. After rehabilitation training for 1 month, the active mouth opening and the forward and backward moving of the mandibular joints were remarkably improved in both groups. Conclusion The early rehabilitation treatment produces the same outcomes in the patients with condylar fractures treated by different methods.

关 键 词：髁突骨折 康复治疗 

分 类 号：R782[医药卫生—口腔医学]