儿童髁突骨折不同治疗方式的选择及疗效回顾性分析  

Retrospective Analysis of Different Treatment Options and Curative Effects of Condyle Fractures

作　　者：潘志燕 马旭亮 代福月 王云肖 孙红蕾 王钰宁 PAN Zhi-yan;MA Xu-liang;DAI Fu-yue;WANG Yun-xiao;SUN Hong-lei;WANG Yu-ning(Department of Stomatology,the Third Hospital of Xingtai City,Xingtai 054000,Hebei,China;Department of Oral and Maxillofacial Surgery,Hebei Eye Hospital,Xingtai 054000,Hebei,China;Department of Stomatology,Xingtai People's Hospital,Xingtai 054000,Hebei,China;Department of Oral Medicine,Hebei Eye Hospital,Xingtai 054000,Hebei,China;Department of Stomatology,the Second Affi liated Hospital of Xingtai Medical College,Xingtai 054000,Hebei,China)

机构地区：[1]邢台市第三医院口腔科,河北邢台054000 [2]河北省眼科医院口腔颌面外科,河北邢台054000 [3]邢台市人民医院口腔科,河北邢台054000 [4]河北省眼科医院口腔内科,河北邢台054000 [5]邢台医学高等专科学校第二附属医院口腔科,河北邢台054000

出　　处：《中国美容医学》2021年第11期90-94,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究保守治疗和手术治疗对儿童髁突骨折患者的疗效差异。方法:选择2018年5月-2019年5月在邢台市第三医院口腔科治疗的90例髁突骨折患儿的病历资料进行回顾性分析。所有患儿根据治疗方法的差异分为对照组和观察组,每组45例。对照组采用手术治疗的方法,观察组使用保守治疗的方法。对比两组的治疗效果、影像学结果分级、下颌骨三维重建指标、下颌运动功能及不良反应的情况。结果:观察组治疗有效率93.33%,对照组治疗有效率88.89%,两组比较差异无统计学意义(P>0.05)。观察组的影像学改变有效率91.11%,对照组的影像学改变有效率86.67%,两组比较差异无统计学意义(P>0.05);治疗后6个月,两组的颞下颌关节窝深度的数据比较差异无统计学意义(P>0.05)。观察组的髁突横径高于对照组,髁突宽度、骨性颏点偏斜度低于对照组(P<0.05);治疗后6个月,观察组的张口度大于对照组(P<0.05)。两组治疗过程中的不良反应发生率比较差异无统计学意义(P>0.05)。治疗后2年,所有患儿的恢复情况良好,最大张口度平均为(42.81±3.92)mm。结论:对于儿童髁突骨折患者,采用保守治疗的方法可获得同手术治疗较为类似的疗效,保守治疗的方法对于改善患儿的下颌运动功能以及保持下颌骨对称性更具有优势。Objective To explore the difference in curative effect between conservative treatment and surgical treatment in children with condylar fractures. Methods The medical records of 90 children with condyle fractures treated in the department of stomatology of xingtai third hospital from May 2018 to May 2019 were selected for retrospective analysis. All children were divided into a control group and an observation group according to the difference of treatment methods, with 45 cases in the control group and 45 cases in the observation group. The control group used surgical treatment, and the observation group used conservative treatment. Compare the treatment effects, imaging results classification, mandibular three-dimensional reconstruction indexes, mandibular motor function, and adverse reactions of the two groups. Results The effective rate of treatment in the observation group was 93.33%, and that in the control group was 88.89%, the difference was not statistically significant(P>0.05). The effective rate of imaging changes in the observation group was 91.11%, and the effective rate of imaging changes in the control group was 86.67%, the difference was not statistically significant(P>0.05). Six months after treatment, there was no significant difference in the depth of the temporomandibular joint between the two groups(P>0.05).The transverse diameter of the condyle of the observation group was higher than that of the control group, and the width of the condyle and the deviation of bony mental point were lower than those of the control group(P<0.05). Six months after treatment, the mouth opening of the observation group was greater than that of the control group(P<0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups during treatment(P>0.05). Two years after treatment, all children recovered well, with an average maximum mouth opening of(42.81±3.92) mm. Conclusion For pediatric patients with condylar fractures, conservative treatment methods can obta

关 键 词：髁突骨折 保守治疗 手术治疗 下颌骨 内固定 

分 类 号：R782.2[医药卫生—口腔医学]