髁突矢状骨折手术中关节盘复位的应用
发布时间：2019-02-25 10:55
【摘要】：目的探讨髁突囊内骨折开放手术中关节盘复位及固定方法的选择及疗效评判。方法选择因髁突骨折接受手术治疗,且随访期超过6个月的36例患者为研究对象,骨折类型以髁突矢状骨折为主;术中采用长螺钉内固定,依据关节盘移位及损伤程度分别对关节盘采用缝合法(22侧)及锚固法(14侧)进行复位。术后1、3、6个月及1年进行随访,选择手术前及手术后6个月为时间点详细记录Fricton颞下颌关节紊乱指数(CMI)相关的各项指标,从临床和颞下颌关节(TMJ)功能两方面评估术后恢复情况。结果两组患者术后TMJ功能改善,CMI分别从治疗前的0.213±0.162和0.273±0.154下降到0.059±0.072和0.064±0.068(P0.05)。两组不同关节盘复位及固定方法之间比较,CMI、肌肉压痛指数和TMJ功能障碍指数差异无统计学意义(P0.05)。结论 2种方法处理关节盘均可以有效地改善创伤导致的TMJ功能障碍,关节盘复位及固定方法的选择以关节盘移位及损伤程度作为参考。
[Abstract]:Objective to investigate the choice of reduction and fixation of articular disc in open operation of intracapsular condylar fracture. Methods 36 patients with condylar fracture who received surgical treatment and were followed up for more than 6 months were selected as study subjects. The fracture type was mainly condylar sagittal fracture. Long screw fixation was used during the operation. According to the displacement of the disc and the degree of injury, the suture method (22 sides) and the anchor method (14 sides) were used to reposition the disc. Three months, six months and one year after operation were followed up. The indexes related to Fricton temporomandibular joint disorder index (CMI) were recorded in detail at the time points of 3 months, 6 months and 1 year after operation. To evaluate the postoperative recovery from clinical and temporomandibular joint (TMJ) function. Results the TMJ function of the two groups improved after operation, the CMI decreased from 0.213 卤0.162 and 0.273 卤0.154 to 0.059 卤0.072 and 0.064 卤0.068 respectively (P0.05). There was no significant difference in CMI, muscle tenderness index and TMJ dysfunction index between the two groups with different reduction and fixation methods (P0.05). Conclusion both methods can effectively improve the TMJ dysfunction caused by trauma. The choice of reduction and fixation of the disc is based on the displacement of the disc and the degree of injury.
【作者单位】： 南昌大学附属口腔医院口腔颌面外科江西省口腔生物医学重点实验室;宜春市人民医院口腔科;江西省中医药大学附属医院口腔颌面外科;
【基金】：江西省科技厅支撑计划(20132BBG70095)~~
【分类号】：R782.6
[Abstract]:Objective to investigate the choice of reduction and fixation of articular disc in open operation of intracapsular condylar fracture. Methods 36 patients with condylar fracture who received surgical treatment and were followed up for more than 6 months were selected as study subjects. The fracture type was mainly condylar sagittal fracture. Long screw fixation was used during the operation. According to the displacement of the disc and the degree of injury, the suture method (22 sides) and the anchor method (14 sides) were used to reposition the disc. Three months, six months and one year after operation were followed up. The indexes related to Fricton temporomandibular joint disorder index (CMI) were recorded in detail at the time points of 3 months, 6 months and 1 year after operation. To evaluate the postoperative recovery from clinical and temporomandibular joint (TMJ) function. Results the TMJ function of the two groups improved after operation, the CMI decreased from 0.213 卤0.162 and 0.273 卤0.154 to 0.059 卤0.072 and 0.064 卤0.068 respectively (P0.05). There was no significant difference in CMI, muscle tenderness index and TMJ dysfunction index between the two groups with different reduction and fixation methods (P0.05). Conclusion both methods can effectively improve the TMJ dysfunction caused by trauma. The choice of reduction and fixation of the disc is based on the displacement of the disc and the degree of injury.
【作者单位】： 南昌大学附属口腔医院口腔颌面外科江西省口腔生物医学重点实验室;宜春市人民医院口腔科;江西省中医药大学附属医院口腔颌面外科;
【基金】：江西省科技厅支撑计划(20132BBG70095)~~
【分类号】：R782.6
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