微型钛板复位内固定治疗下颌骨髁突囊内骨折的效果.PDFVIP

2 19002 中华临床医师杂志(电子版)2016 年 7 月第 10 卷第 13 期 Chin J Clinicians(Electronic Edition),July 1,2016,Vol.10,No.13 2临床论著2 微型钛板复位内固定治疗下颌骨髁突 囊内骨折的效果 林晨阳 罗艳荣 许志亮 【摘要】 目的 探讨微型钛板复位内固定治疗下颌骨髁突囊内骨折的临床效果及手术方法。 方法 对本院 2013 年 3 月至 2015 年 3 月手术治疗的 87 例下颌骨髁突囊内骨折患者进行回顾性分析， 所有患者均采用微型钛板复位内固定治疗，对比手术前后患侧测量指标与健侧测量指标。结果 术后 3、6 个月 87 例患者的最大张口度、髁突高度测定值较术前均显著提高（P＜0.05），张口偏斜度术 后 3、6 个月较术前显著降低（P＜0.05）；术前、术后 3 个月患侧的髁突高度测定值均显著低于健 侧（P＜0.05），术后 6 个月两侧髁突高度差异无统计学意义（P＞0.05）；术后 6 个月患者的主诉 严重程度指数 Ai、Di 分布均显著优于术前（P＜0.05）；术后 6 个月达到完全治愈标准的有 50 例患 者（ 57.47%）。结论 采用微型钛板复位内固定治疗下颌骨髁突囊内骨折临床效果可靠，值得推广。 【关键词】 微型钛板； 下颌骨髁突囊内骨折； 临床效果 Effect of mini titanium plate reduction and internal fixation in the treatment of mandibular condylar fractures Lin Chenyang, Luo Yanrong, Xu Zhiliang. Department of ENT and Maxillofacial Surgery, the 175 Hospital of PLA, Zhangzhou 363000, China Corresponding author: Luo Yanrong, Email: lcydoctor@ 【Abstract】 Objective To investigate the clinical effect and operation method of micro titanium plate with internal fixation in the treatment of mandibular condylar fractures. Methods 87 cases of mandibular condyle Signum fracture patients in our hospital from March 2013 to March 2015 were retrospectively analyzed. All patients were treated with mini titanium plate internal fixation. The measurement indexes and contralateral measurements of patient side were compared before and after surgery. Results In 3 and 6 months after surgery, the maximum mouth opening and condylar height in 87 patients were significantly increased before surgery (P0.05), skewness mouth after 3 and 6 months was significantly reduced compared with that before (P0.05); condylar height