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[下颌骨髁突矢状骨折(SFMC):手术患者的临床与病理研究]

[Sagittal fracture of mandibular condyle (SFMC): a clinical and pathological study on the operated patients].

作者信息

Wu X G

机构信息

General Hospital of PLA, Beijing.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 1993 Mar;28(2):88-9, 128.

PMID:8222970
Abstract

8 patients with SFMC (9 TMJs) were treated surgically, of which findings on images, during operation and pathological examination demonstrated that SFMC of human being was able to reach bony healing, however, with a larger transverse diameter and a step-like articular surface or a bifid condyle; and that both the fractured and the remained condylar cartilage early show degeneration deteriorating progressively, as a result, all 3 six-month or more SFMC patients had perforation of disc and adhesion in TMJ and complained of TMJDS symptoms. These results support the views that the fate of SFMC is severe secondary osteoarthrosis and that SFMC patients should be treated with positive procedures as early as possible.

摘要

8例盘状半月板囊肿患者(9个颞下颌关节)接受了手术治疗,影像学、术中及病理检查结果表明,人类盘状半月板囊肿能够实现骨愈合,然而,其横径较大,关节面呈阶梯状或髁突分叉;骨折的髁突软骨和残留的髁突软骨早期均出现进行性退变,因此,所有病程6个月及以上的盘状半月板囊肿患者均出现了关节盘穿孔和颞下颌关节粘连,并伴有颞下颌关节紊乱综合征症状。这些结果支持以下观点,即盘状半月板囊肿的转归是严重的继发性骨关节炎,盘状半月板囊肿患者应尽早接受积极治疗。

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