摘要
目的:对行闭合性治疗的儿童髁突骨折病例进行回顾分析,为临床提供参考。方法:对2008—2016年144例行闭合性治疗的儿童髁突骨折患者的年龄、性别、致伤原因、骨折类型、伴发骨折、治疗方法及预后进行回顾分析。采用SPSS 21.0软件包对数据进行χ^(2)检验。结果:闭合性治疗可用于各年龄段儿童髁突骨折,尤其是12岁以下患儿,高处坠落为主要致伤原因。经闭合性治疗后6个月,患儿开口度由(19.32±6.71)mm增加至(40.51±6.14)mm。随访期间,34.72%的患儿出现开口偏斜,18.75%的患儿出现关节弹响,3例患儿出现关节强直。结论:闭合性治疗用于儿童髁突骨折效果理想。对严重骨折断端外上移位、关节间隙消失的病例,应密切随访,考虑开放性治疗。
PURPOSE:To evaluate the therapeutic effect of closed treatment on children with condylar fractures.METHODS:A retrospective study was conducted in 144 children with condylar fractures treated with closed treatment from 2008 to 2016.The age,sex,causes,fracture characteristics,concomitant injury,and treatment outcomes were analyzed.Chi-square test was performed using SPSS 21.0 software package.RESULTS:Closed treatment of condylar fracture was effective in children of all ages,especially in children under 12 years.Fall was the leading cause of condylar fractures in children.After 6 months of follow-up,the maximum month opening increased from(19.32±6.71)mm to(40.51±6.14)mm.34.74%cases presented mouth deviation from midline;18.75%cases presented temporomandibular joint clicking during wide month opening;and 3 cases developed ankylosis.CONCLUSIONS:Closed treatment of condylar fracture in children is proved to be effective.For cases with severely dislocated condylar fractures,surgical treatment is suggested.
作者
朱妍菲
唐艳梅
孙蕙珺
于倩
朱敏
ZHU Yan—fei;TANG Yan—mei;SUN Hui-jun;YU Qian;ZHU Min(Department of Oral and Craniomaxillofaeial Science,Shanghai Ninth People Hospital,College of Stomatology,Shanghai Jiao Tong University School of Medicine,Shanghai Key Laboratory of Stomatology,Shanghai 200011,China)
出处
《中国口腔颌面外科杂志》
CAS
2017年第4期329-333,共5页
China Journal of Oral and Maxillofacial Surgery
基金
上海高校高峰高原学科建设项目
关键词
髁突骨折
儿童
闭合性治疗
Condylar fracture
Children
Closed treatment
