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小型猪不同类型髁突骨折对颞颌关节血流的影响
Hits: 1979   Download times: 1321   Received:November 06, 1998  Revised:March 06, 1999  
作者Author单位UnitE-Mail
姚军 YAO Jun 解放军总医院口腔科,北京100853 Department of Stomatology,General Hospital of PLA Beijing,100853  
胡敏 HU Min 解放军总医院口腔科,北京100853 Department of Stomatology,General Hospital of PLA Beijing,100853  
周继林 ZHOU Ji lin 解放军总医院口腔科,北京100853 Department of Stomatology,General Hospital of PLA Beijing,100853  
洪民 解放军总医院口腔科,北京100853 Department of Stomatology,General Hospital of PLA Beijing,100853  
期刊信息:《中国骨伤》2000年13卷,第11期,第655-657页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨不同类型髁突骨折后的血供变化。

方法:中国实验用小型猪15头,分别造成左侧髁突纵行和横断骨折模型,在不同时间进行放射同位素三相骨扫描检查。

结果:不同类型髁突骨折后血流相时间-放射性强度曲线均显示峰值升高,峰时后延,术侧颞颌关节区延迟相和血池相的放射性计数比值各个时间组均比健侧大,提示TMJ血流灌注受到影响,与髁突横断骨折比较,髁突纵行骨折后TMJ血流所受影响程度较大,时间较长。

结论:放射性同位素三相骨扫描可反映出不同类型髁突骨折后在不同时间的骨代谢及血供情况,为临床提供非常有用的信息。
[关键词]:颞颌关节  骨折  髁突  同位素
 
Effect of different types of condylar fractures of the mandible on the blood flow of temporomandibular joint of childhood miniature pigs
Abstract:

Objective: To evaluate the effect of different types of condylar fractures of the mandible on the blood flow of temporomandibular joint (TMJ)of childhood miniature pigs.

Methods:Longitudinal and transverse fracture models of left condylar process of the mandible were produced in 15 childhood miniature pigs.The “three phrase technique” of radio nuclide skeletal imaging was performed on these pigs at different times.

Results:The blood flow imaging and the values of the time-activity curve of the two types of condylar fractures showed a higher peak value and a delayed peak time on TMJ area at fracture side.Also,the value of radioactive count in blood pool and delayed image of TMJ area at fracture side was higher than that of control side,which reminded that blood flow perfusion of TMJ was affected.In comparison with transverse fracture of condyle process,TMJ blood flow was affected more extensively and longer after longitudinal fracture.

Conclusion: The “three phrase technique” of radio nuclide skeletal imaging can provide useful information for post fracture recover process,in which the results reflect the situation of blood supply,skeletal metabolism and the recovery process at different periods following different types of fracture.There are severe injuries of longitudinal condylar process fracture on TMJ.
KEYWORDS:Radio nuclide Fracture  condylar Isotopes
 
引用本文,请按以下格式著录参考文献:
中文格式:姚军,胡敏,周继林,洪民.小型猪不同类型髁突骨折对颞颌关节血流的影响[J].中国骨伤,2000,13(11):655~657
英文格式:YAO Jun,HU Min,ZHOU Ji lin.Effect of different types of condylar fractures of the mandible on the blood flow of temporomandibular joint of childhood miniature pigs[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(11):655~657
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