摘要： 目的：探讨髁突骨折的治疗方法,以指导临床工作。方法：回顾性分析漯河市中心医院48例髁突骨折病例，按治疗方法分为保守治疗组(10例)和手术治疗组(38例)，并评价其临床效果。结果：48例下颌骨髁突骨折病例均进行1～36个月的随访，手术治疗组的平均开口度(35.6±3.3) mm明显优于保守治疗组(31.4±3.2) mm，差异有统计学意义(P<0.05)；手术治疗组患者的正常咬合关系、面型偏斜和颞下颌关节症状指标稍优于保守治疗组，但差异无统计学(P>0.05)。结论：髁突骨折的治疗方法应主要根据骨折的部位、移位程度、复位的难易程度、患者年龄、全身情况等方面来决定。对于有明显手术适应证的患者, 选择合适的手术治疗可以提高治疗效果,减少并发症。

关键词: 髁突, 骨折, 临床研究

Abstract: Objective: To review and compare the treatment outcomes of the condylar fracture of the mandible. Methods:  The clinical records of 48 cases with condylar fracture were divided into conservative group (10 cases) and surgical group (38 cases).  Follow up period ranged from 1 to 36 months. The clinical informations and treatment data were analyzed.  Results: Mean width of mouth opening in surgical group was (35.6±3.3) mm, better than conservative group (31.4±3.2) mm, and the difference was significant(P<0.05). In surgical reduction group patients, the occlusion relations，facial deflection deformities, and TMJ symptom indices were slightly better, but the difference was not significant(P>0.05)． Conclusion:  For the condylar fractures of the mandible, the treatment of choice is based on a variety of factors.The outcomes of surgical or non-surgical maneuvers resulted in no significant difference.

Key words: mandibular condyle, fracture, clinical study

中图分类号: 

• R782.4