髁状突骨折开放手术翼外肌解剖复位与游离复位的手术效果对比

Comparison of Anatomical Reduction and Free Reduction for Open Reduction of Condylar Fracture

目的对比分析髁状突骨折开放手术翼外肌解剖复位与游离复位的手术效果。方法抽取2003年1月至2015年1月间来我院诊治的髁状突骨折患者100例,随机平均分为两组,分别给予开放手术翼外肌解剖复位(观察组)与游离复位(对照组)治疗。术后12个月对两组患者进行影像学检查,对比分析其治疗效果及并发症情况。结果根据疗效评定标准,观察组治愈率为94%,对照组治愈率为74%;术后并发症的发生率观察组为6%,对照组为26%。结论髁状突骨折的解剖复位治疗适应症广,有利于下颌骨局部结构形态及咀嚼功能的恢复,术后并发症较少,治疗效果显著,而髁状突高位骨折患者则更适于采取游离复位治疗。

Objective To analyze the effect of anatomical reduction and free reduction on the operation of Condylar fractures open surgery through the pterygoid muscle. Methods 100 patients with fracture of mandibular condyle who received surgical treatment in our hospital from January 2003 to January 2015 were selected. They were randomly divided into two groups, the observation group was given an open surgery anatomical reduction of the pterygoid muscle, the control group was given a free reduction treatment.Twelve months after operation, the two groups of patients were examined by imaging, and the therapeutic effect and complication were analyzed. ResultsAccording to the evaluation criteria, the cure rate was 94 % in the observation group and 74 % in the control group.The incidence of postoperative complications was 6 % in the observation group and 26 % in the control group. Conclusion Anatomical reduction of condylar fractures has a wide range of adaptability,is beneficial to the recovery of mandibular local structure and chewing function and has less postoperative complications and significant therapeutic effect, while patients with condylar hyperplasia are more suitable for free reduction therapy.