56例髁状突骨折的临床分析  

Retrospective clinical analysis of 56 cases of condylar fractures

作　　者：杨震[1] 曹罡[1] 肖平[2] 尹英[1] 寿柏泉[1] 黎介寿 

机构地区：[1]南京军区南京总医院口腔科 [2]南京军区南京总医院汤山疗养区口腔科 [3]解放军普通外科研究所,江苏南京210002

出　　处：《医学研究生学报》2008年第12期1267-1269,共3页Journal of Medical Postgraduates

基　　金：全军"十一五"医药卫生科研专项项目(批准号:06Z017)

摘　　要：目的：探讨髁状突骨折的治疗方法。方法：对56例髁状突骨折患者的临床资料进行回顾性分析。结果：髁状突骨折好发于男性（82.14%）;20~50岁年龄组患者占89.29%;致伤原因多为交通事故（51.79%）,摔伤占26.79%;多发伤、合并伤占48.21%,伴颏部骨折占48.21%;手术和非手术治疗后咬合关系恢复良好和基本恢复占89.29%。结论：髁状突骨折疗效与骨折损伤类型、程度、适应证选择及治疗规范性有关。术前全面了解骨折情况,选择治疗适应证,在规范治疗前提下,采用颌间牵引复位固定、手术解剖复位＋钛板内固定是目前的最佳治疗方法。Objective ： To evaluate different treatment methods for condylar fractures. Methods ： Retrospective analyses were made of the clinical data of 56 cases of condylar fractures treated from January 1996 to December 2007. Results： Condylar fractures occurred mostly in males （82. 14% ）, and 89.29% of the patients were aged 20 -50 years. Traffic accidents accounted for 51.79% and falling 26.79% of the causes, 48.21% of the cases accompanied with injuries of other parts of the body, and 89.29% restored to normal occlusion after surgical or non-surgical treatment. Conclusion ： The effect of the treatment is related with the type and severity of the fractures, the choice of surgical indications and the standardization of treatment. A thorough evaluation of the fractures is necessitated. The best protocol for condylar fractures should be intermaxillary elastic traction, surgical anatomic reduction plus rigid internal fixation by Ti plate.

关 键 词：治疗髁状突骨折 手术治疗 非手术治疗 

分 类 号：R683[医药卫生—骨科学]