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A Meta-analysis of condylar fracture treatment
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF STOMATOLOGY
- Issue:
- 7
- DOI:
- 10.3760/j.issn:1002-0098.2006.07.002
- Key Word:
- 下颌骨髁状突;骨折;创伤和损伤
Abstract： 方法以"下颌骨"、"髁突"、"骨折"、"治疗"为关键词,检索Medline、荷兰医学文摘(Embase)、Cochrance图书馆临床对照试验注册资料库(CCTR)和中国期刊网(CNKI)数据库中4种口腔医学杂志,按标准筛选文献,然后进行文献评价和Meta分析.结果共检出172篇相关文献,入选的10篇.10篇论著所含临床样本711例.随诊6个月和2年时,手术组张口度小于非手术组,且差异有统计学意义;随诊1年和2年时,手术组关节疼痛的发生率与非手术组间差异无统计学意义;手术组错(牙合)的发生率小于非手术组,差异有统计学意义.结论年龄＞16岁的患者低位髁突骨折有严重移位或脱位时,建议采用手术治疗.与非手术治疗相比,手术治疗能更好地恢复咬合关系.手术组与非手术组术后关节疼痛无差别.张口度的恢复有待进一步研究.
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