摘要
目的:对比髁状突囊内骨折手术治疗和保守治疗的治疗效果。方法:收集2011-01~2016-01的37名单侧髁状突囊内骨折的成年患者资料。其中21名患者接受了手术治疗,16名患者接受了保守治疗。术前及术后的临床检查,CT,MRI等影像学检查结果被完整收集并分析。结果:术后6个月复查时发现,术后2组患者咬合关系均恢复良好,张口度均明显改善,但手术治疗组张口度显著大于保守治疗组(P<0.05);保守治疗组的关节不适、关节杂音及关节盘移位的发生率均显著高于手术治疗组(P<0.01)。结论:手术治疗髁状突囊内骨折与保守治疗相比可以显著改善颞下颌关节的术后功能。
Objective: To compare the therapeutic efficacy between surgical treatment and conservative treatment for intracapsular condylar fracture(ICF). Methods: 37 adult patients with unilateral ICF were recruited from January 2011 to January 2016. 21 patients were treated by surgery and 16 by conservative method. Before and after treatment patients were examined by clinical examinations,CT and MRI. Results: At 6th month follow-up,no occlusal disturbance and trismus was found in all cases. The mouth opening of surgical treatment group was significantly larger than that of the conservative treatment group(P ＜ 0. 05). The incidence of lateral deviation while mouth opening,TMJ discomfort and anterior disc displacement in the conservative treatment group was significantly higher than those in surgical treatment group(P ＜ 0. 01). Conclusion: Surgiry treatment is more effective than conservative method in the treatment of ICF and can improve the TMJ function.
作者
高颖
吕继连
GAO Ying;LV Jilian(Department of Oral and Maxillofacial Surgery,Zhengzhou Central Hospital Affiliated to Zhengzhou University,China,450000)
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2018年第1期69-72,共4页
Journal of Practical Stomatology
基金
河南省医学科技攻关计划普通项目(编号:201702307)
关键词
髁状突囊内骨折(ICF)
手术治疗
保守治疗
Intracapsular condylar fracture(ICF)
Operative treatment
Conservative treatment
