›› 2013, Vol. 33 ›› Issue (2): 73-77.

• 基础与临床研究 •    下一篇

翼外肌在髁突矢状骨折愈合过程中对形态改建影响的组织学研究

程鹏1,刘昌奎2,刘平2,邓天阁2,江欣2,胡开进2   

  1. 1. 第四军医大学研究生院
    2. 解放军第451医院
  • 收稿日期:2012-08-06 修回日期:2012-10-17 出版日期:2013-02-08 发布日期:2013-02-22
  • 通讯作者: 程鹏 E-mail:734176354@qq.com
  • 基金资助:
    国家自然科学基金

Histopathological study of the effect of lateral pterygoid muscle in the reconstruction the condylar shape during the sagittal fracture of mandibular condyle healing process

  • Received:2012-08-06 Revised:2012-10-17 Online:2013-02-08 Published:2013-02-22

摘要: 探讨翼外肌在髁突矢状骨折愈合中对髁突形态改建所起的作用。方法 选择24只1岁龄成年绵羊,随机分成两组。采用截骨术造成动物髁突矢状骨折,并剪断关节盘前后附着并将其推向内侧。组A保留翼外肌在髁突内极的附着,保留其功能。组B在术中切断翼外肌在髁突内极的附着,阻断其功能。术后2周,4周,12周,24周,分别处死动物,并分离完整的TMJ大体下观察,按TMJ矢状方向分成内中外各1/3固定,HE染色和丽春红三色染色。结果 组A即保留翼外肌功能组,较组B髁突有更多新骨形成,髁突形态改变更严重。结论 翼外肌在髁突矢状骨折愈合过程中对髁突形态改建的影响起到非常重要作用。

关键词: 颞下颌关节, 髁突骨折, 翼外肌, 强直, temporomandibular joint, condylar fractures, lateral pterygoid muscle, ankylosis

Abstract: Objective  To examine the effect of the lateral peterygoid muscle in the reconstruction the condylar shape during the sagittalfracture of mandibular condyle (SFMC) healing process. Methods Twenty four adult sheep were randomly divided into 2 groups, All sheep had a uniateral operation on the right side of cuting anterior and posterior attachments of the the discs ,and an oblique vertical osteotomy was made from the lateral pole of the condyle to the medial side of the condylar neck. One group (group A) Keep pterygoid muscle in the attached condylar free, and exercise their functions. The other group (group B) In the perioperative cut pterygoid muscle in the attached condylar free, to block its function . Each group sheep were sacrificed at 2 weeks、4 weeks、12 weeks、and 24 weeks after surgery, And separation of complete TMJ general under the microscope, According to the TMJ sagittal direction in the third and divided into fixed, HE staining and paucean tuichrome staining. Result In the group without cut the the lateral peterygoid muscle.the joints showed greater overgrows of new bone more advanced ankylosis. Conclusion This study shows that the lateral pterygoid muscle plaied very important role the reconstruct the condylar shape during the sagittalfracture of mandibular condyle (SFMC) healing process.

中图分类号: