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目的评价下颌骨髁突骨折经治疗后早期康复治疗的临床效果。方法将52例(61侧)下颌骨髁突骨折患者分为两组:A组23例(26侧)行髁突骨折切开复位内固定术;B组29例(35侧)患者行牙弓夹板颌间牵引等保守治疗。术后采用相同的康复治疗方案。评价治疗前和康复治疗后主动张口度、前后活动度。结果随访12-24个月。两组患者术后均未出现关节强直;康复训练1个月后,主动张口度和前后活动度均较治疗前明显改善(P<0.05)。结论不同类型的下颌骨髁突骨折选择不同的治疗方法,通过相同的早期康复治疗效果相仿。
Objective To evaluate the clinical effect of early rehabilitation treatment of mandibular condylar fractures. Methods Twenty-two patients (61 sides) with mandibular condylar fractures were divided into two groups: 23 cases (26 sides) underwent open reduction and internal fixation with condylar fracture in group A; 29 cases (35 sides) Plywood intermaxillary traction and other conservative treatment. After using the same rehabilitation program. Evaluation before treatment and rehabilitation after active mouth opening, before and after the activity. The results were followed up for 12-24 months. There was no postoperative joint stiffness in both groups. After 1 month of rehabilitation training, the active mouth opening and anteroposterior mobility were significantly improved than those before treatment (P <0.05). Conclusion Different types of mandibular condyle fractures choose different treatment methods, the same effect of early rehabilitation similar.