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目的比较口内入路和颌下入路治疗成人髁突骨折的疗效。方法回顾性分析2009年1月至2013年1月住院手术治疗的75例成人髁突骨折患者,按照数字表法随机分为两组,其中观察组40例采用口内手术入路,对照组35例采用颌下切口入路。比较两组术前、术后3个月、6个月张口度、歪斜情况、咬牙合关系、面神经损伤情况。结果术后3、6个月两组张口度均较术前增加,差异有统计学意义(P<0.05)。术后3、6个月两组开口偏斜率、面神经损伤率比较差异均有统计学意义(P<0.05)。结论口内入路和颌下入路在治疗髁突骨折中都有各自的优势和不足,结合手术入路的不同特点严格掌握适应证。
Objective To compare the efficacy of intraoral approach and submandibular approach in the treatment of adult condylar fractures. Methods A retrospective analysis of 75 cases of adult condylar fractures hospitalized from January 2009 to January 2013 were randomly divided into two groups according to the digital table method. Among them, 40 cases in the observation group were treated by oral surgery and 35 cases in the control group Submandibular incision approach. Preoperative, postoperative 3 months, 6 months mouth opening, skewed, bite occlusion, facial nerve injury. Results The mouth opening of the two groups increased more than preoperative at 3 and 6 months after operation, the difference was statistically significant (P <0.05). At 3 and 6 months after operation, there was significant difference between the two groups in opening skew rate and facial nerve injury rate (P <0.05). Conclusions Intraoral approach and submandibular approach have their own advantages and disadvantages in the treatment of condylar fractures. The indications should be strictly controlled according to the different characteristics of the surgical approach.