纤维性颌间挛缩非手术治疗初探——附三例报告

A preliminary investigation on the non-operative treatment of fibrous intermaxillary contracture.

目的 :探讨纤维性颌间挛缩非手术治愈的可能性 ,寻求有效便捷的治疗手段。方法 :对外伤后引起重度张口受限的 3例患者采用开口器被动强制开口 ,辅以钙离子导入、超短波、神灯等物理疗法及自我功能锻炼。结果 :经过 5～ 6日治疗 ,开口度都有明显增大 ,持续一段时间的功能锻炼 ,最终均恢复正常。结论 :被动强制开口法为部分纤维性颌间挛缩患者免于手术痛苦、减轻经济负担探讨出一条非手术治疗的有效途径。

Objective: The possibility and convenience of preser vative treatment of fibrous intermaxillary contracture was discussed. Methods:The author treated three patients of post-injured serious limitation of mouth-opening with mouth-gag. calcium infusion. utra-shortwave. infrared lamp.self-function exercise. Results:After 5-6 days of passive mouth-opening, the mouth-opening degree had significantly improved and eventually restored to the normal degree due to enduring function exercise. Conclusion: The passive mouth-opening is a favorable preservative treatment of intermaxillary contracture because the patient failed to suffer from surgical process and decreased the surgical payment.