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下颌骨关节突骨折的手术治疗与非手术治疗

Surgical versus non-surgical treatment of fractures of the articular process of the mandible.

作者信息

Hidding J, Wolf R, Pingel D

机构信息

Dept of Oral and Maxillo-Facial Surgery, University of Münster, Germany.

出版信息

J Craniomaxillofac Surg. 1992 Dec;20(8):345-7. doi: 10.1016/s1010-5182(05)80363-4.

Abstract

In a clinical, radiographic and angiographic study, we reinvestigated 34 patients with dislocated fractures of the condylar neck. 20 of them had been treated by open reduction, 14 in a conservative-functional way. The clinical results were nearly equal in both groups. The instrumental registration and the X-ray findings showed considerable deviations in the joint physiology in the conservative group. 19 of 20 patients operated on showed near-anatomical reconstruction with good functional results.

摘要

在一项临床、影像学和血管造影研究中,我们对34例髁突颈部脱位骨折患者进行了再次研究。其中20例接受了切开复位治疗,14例采用保守功能治疗。两组的临床结果几乎相同。仪器记录和X线检查结果显示,保守治疗组的关节生理存在明显偏差。接受手术治疗的20例患者中有19例实现了近乎解剖学的重建,功能结果良好。

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