摘要
目的回顾性探究髁状突骨折的临床治疗。方法将我院收治的160例髁状突骨折患者分为手术组和非手术组,非手术组患者均采用保守治疗,手术组患者均采用手术进行治疗。结果经过治疗,所有患者出院时咬合关系基本正常,能进软食。非手术组开口度为(31.5±3.4)mm,手术组的(33.7±3.1)mm,差异无统计学意义(P>0.05),手术组患者的开口偏斜、咀嚼良好、正常咬合关系、面型偏斜和颞下颌关节症状指标稍微优于非手术组,但两组患者差异无统计学意义(P>0.05)。治疗6个月后复查X线片,见骨折线消失,骨痂呈均匀影,骨小梁接近正常。手术组患者复位的髁突位置较好无移位,髁突表面无骨吸收现象,无钛板钛钉松脱现象。而非手术组患者多数不能实现解剖复位,部分髁突位置有不同程度的改变。结论对于髁状突骨折采用哪种方法主要根据骨折的部位、移位程度、复位的难易程度、患者年龄、全身情况以及患者的意愿等方面来决定,应以较少的损伤,最安全、简便的方法恢复颞颌关节的解剖与功能是外科医师遵循的原则。
Objective To retrospectively study the clinical treatment of condylar fracture.Methods In our hospital,160 cases of condylar fractures were divided into operation group and no operation group,non operation group were treated with conservative treatment,operation patients were treated with operation treatment.Results After treatment,all patients were discharged when the occlusal relationship is basically normal,to a soft diet.Non-operation group（31.5 ± 3.4 opening for mm）,operation group（33.7 ± 3.1） mm,no significant difference（P〉0.05）,operation group were opening deviation,chewing good,normal occlusion,surface deflection and symptoms of temporomandibular joint index slightly better than operation group,but the difference between the two patients had no statistical significance（P〉0.05）.After 6 months of treatment.X-ray film,see the fracture line disappeared,callus showed homogeneous shadow,bone trabeculae.Condylar position reset operation group were better without displacement,no bone absorption phenomenon of condylar surface,no titanium plate and screw loosening phenomenon.Rather than operation group were most cannot achieve anatomical reduction,part of the condylar position changed in different degree.Conclusions For the condylar fractures adopt what kind of method is mainly based on the fracture site,degree of displacement,reset the difficult easy degree,age,body condition and the wishes of patients and to decide,should take less damage,the most secure method,easy recovery of temporomandibular joint anatomy and function is the principle for the surgeons to follow.
出处
《齐齐哈尔医学院学报》
2013年第12期1771-1772,共2页
Journal of Qiqihar Medical University
关键词
髁状突骨折
临床治疗
回顾性分析
Condylar fracture
Clinical treatment
Retrospective analysis
