髁突骨折手术与非手术治疗的效果比较  

Comparison of therapeutic efficacy between surgical and non-surgical treatment on mandibular condylar fractures

作　　者：陈丽洁[1] 胡敏[1] 张立海[2] 温伟生[1] 刘三霞[1] 湛雄[3] 

机构地区：[1]解放军总医院口腔科,北京100853 [2]解放军总医院骨科,北京100853 [3]空军总医院口腔科,北京100142

出　　处：《上海口腔医学》2010年第4期372-377,共6页Shanghai Journal of Stomatology

摘　　要：目的:比较下颌骨髁突骨折手术与非手术治疗的效果。方法:收集1987年1月—2009年6月在我科接受诊疗、临床资料完整的髁突骨折患者的资料,对致病因素、骨折类型、治疗方法和治疗效果进行回顾分析,比较手术与非手术治疗的效果。结果:228例患者被纳入研究,其中手术治疗130例,非手术方法治疗98例,平均随访1.5a。以开口度、咬合关系恢复和X线检查为疗效观察指标,2种方法的治疗效果良好。结论:适应证选择恰当时,手术与非手术方法治疗髁突骨折都能获得良好的治疗效果。对于幼儿或学龄前儿童,由于髁突生长发育及关节改建功能,可考虑非手术治疗。PURPOSE： To compare the therapeutic efficacy between surgical and non-surgical treatment on mandibular condylar fractures.METHODS： Patients with mandibular condylar fractures who were treated in our department with complete record from January,1987 to June,2009 were collected in this study.We conducted a retrospective analysis on the pathogenic factor,type,treatments and therapeutic efficacy of mandibular condylar fractures to compare the therapeutic efficacy between surgical and non-surgical treatment.RESULTS： A total of 228 patients were included in this study,among which 130 patients were treated by surgical procedure and the other 98 patients were treated by non-surgical treatment.All the patients were followed up for 1.5 years at average.Postoperative opening wide in the midline,occlusal relation and radiographs were examined to evaluate the therapeutic efficacy.Both surgical and non-surgical treatment showed good result.CONCLUSIONS： Surgical and non-surgical treatment for mandibular condylar fracture can achieve good results,when indication is selected appropriately.Non-surgical treatment is acceptable for young children or preschool children,whose mandibular condylar can accommodate well because of their vigorous growth and development and reconstruction function.

关 键 词：髁突骨折 手术治疗 非手术治疗 

分 类 号：R782.2[医药卫生—口腔医学]