摘要
目的 评价手术治疗与非手术治疗成人下颌骨髁状突骨折的效果 ,为临床选择治疗方式提供参考。方法 回顾分析 93例成人髁状突骨折临床资料 ,随访检查患者面型、张口度、张口型、咬合情况、摄X线片检查骨折愈合情况。结果 手术治疗 2 9例 ,非手术治疗 64例 ,随访 2～ 8年。经非手术治疗后平均张口度 3 6mm ,90 %咬合良好 ,未发现严重面型不对称及张口型偏移 ,未见关节强直。手术治疗与非手术治疗效果无明显差异。手术摘除髁状突 5例 ,张口受限 ,咬合不佳 ,平均张口度 2 5mm ,效果不满意。结论 非手术治疗为大多数髁状突骨折治疗的首选方法。手术治疗应严格选择适应症 。
Purpose The purpose of this study was to evaluate the results of condylar process fractures treated by conservative or surgical methods in adult patients.Methods The clinical records of 93 patients with the fracture of mandibular condyle treated at the West China Stomotology Hospital(WCSH) between 1992 and 1998 were retrospectively reviewed. The general clinical information and treatment data were analyzed.Results In the conservative treatment group, the average maximal mouth opening was about 36mm and 90% of them got satisfactory occlusal contact, no severe faciam asymmetry or deviation of mouth opening were found. No statistical differences between surgically and conservatively treated fractures were discovered, but 5 removed condyle cases had bad occlusal contact and mouth opening .Conclusion The conservative treatment is an ideal method in most mandibular condylar fractures. Indication for surgical reduction should be controlled strictly and removal of condyle is adopted as less as possible.
出处
《临床口腔医学杂志》
2003年第5期296-298,共3页
Journal of Clinical Stomatology
