髁状突骨折治疗的回顾性分析  

Retrospective analysis of the treatment of condylar fracture

作　　者：刘向辉[1] 彭品祥[2] 斯方杰[2] 

机构地区：[1]南京市解放军八一医院口腔科,210002 [2]第四军医大学口腔医学院颌面外科,710032

出　　处：《实用口腔医学杂志》2000年第5期386-388,共3页Journal of Practical Stomatology

摘　　要：目的 :对比观察各种髁状突骨折治疗方法的选择和疗效。方法 :回顾分析 1983～ 1996年间收治的 195例(2 43侧 )髁状突骨折的治疗情况并随访。结果 :髁状突骨折的各种治疗方法总体疗效令人满意 ,以微型钢板固定和颌间牵引固定更为理想 ,但各方法均有一定的后遗症。结论 :髁状突骨折的治疗方法各有其优缺点和适应证 ;应在恢复功能和外形。obiective:To analyse the clinical effectiveness of treatment of condylar fractures with various technics.Methods:195 cases with 243 condylar fractures were treated and followed up (1 year to 14 years) in the hospital from 1983 to 1996.Of 243 condylar fractures,50 were treated by maxillomandibular fixations,5 cranio mandibular fixations,3 open closed mouth trains,57 Kirschner pin fixations,49 microplate fixations,4 long screw fixations,36 wiring fixations and 39 condylar extractions.The methods were chosen according to the area and displaced degree and orientation of condylar fractures,complication and age and general condition of patients.Results:The effects were satisfactory in all the cases,but every method had its complications to different degrees,Conclusions:Every treatmen of condylar fractures has its own advantages and disadvantages.For rehabilitating the function and configuration,suitable and simple treatment should be chosen individually.

关 键 词：髁状突骨折 骨折固定术 治疗 

分 类 号：R782.4[医药卫生—口腔医学]