南昌大学学报（医学版）
南昌大學學報（醫學版）
남창대학학보（의학판）
ACTA ACADEMIAE MEDICINAE JIANGXI
2014年
12期
52-55
,共4页
刘蔚%陈昶%李明达%胡翰青
劉蔚%陳昶%李明達%鬍翰青
류위%진창%리명체%호한청
髁状突骨折%临床特点%治疗
髁狀突骨摺%臨床特點%治療
과상돌골절%림상특점%치료
fractures of the mandibular condyloid process%clinical characteristics%treatment
目的：探讨下颌骨髁状突骨折的临床特点及治疗。方法将71例髁状突骨折患者按治疗方法的不同分为手术组（25例，采用手术切开复位内固定术）及非手术组（46例，采用手法复位）。对2组患者的年龄、性别、受伤因素、骨折部位及类型、治疗方式及并发症等方面进行分析。结果髁状突骨折好发于21～30岁人群，发病率男性高于女性，主要致伤原因为交通事故（56．34％），骨折线多位于髁状突颈部（60．56％）。治疗后随访1年，手术组患者在最大张口度、咬牙合关系、颞下颌关节疼痛、下颌骨活动度等方面与非手术组比较差异均无统计学意义（均 P ＞0．05）。结论髁状突骨折好发于青中年男性，交通事故为主要致伤原因，髁颈是好发部位；髁状突骨折的治疗应综合考虑患者的骨折部位、移位程度、复位难易程度、年龄、全身情况以及患者的意愿等方面来决定。
目的：探討下頜骨髁狀突骨摺的臨床特點及治療。方法將71例髁狀突骨摺患者按治療方法的不同分為手術組（25例，採用手術切開複位內固定術）及非手術組（46例，採用手法複位）。對2組患者的年齡、性彆、受傷因素、骨摺部位及類型、治療方式及併髮癥等方麵進行分析。結果髁狀突骨摺好髮于21～30歲人群，髮病率男性高于女性，主要緻傷原因為交通事故（56．34％），骨摺線多位于髁狀突頸部（60．56％）。治療後隨訪1年，手術組患者在最大張口度、咬牙閤關繫、顳下頜關節疼痛、下頜骨活動度等方麵與非手術組比較差異均無統計學意義（均 P ＞0．05）。結論髁狀突骨摺好髮于青中年男性，交通事故為主要緻傷原因，髁頸是好髮部位；髁狀突骨摺的治療應綜閤攷慮患者的骨摺部位、移位程度、複位難易程度、年齡、全身情況以及患者的意願等方麵來決定。
목적：탐토하합골과상돌골절적림상특점급치료。방법장71례과상돌골절환자안치료방법적불동분위수술조（25례，채용수술절개복위내고정술）급비수술조（46례，채용수법복위）。대2조환자적년령、성별、수상인소、골절부위급류형、치료방식급병발증등방면진행분석。결과과상돌골절호발우21～30세인군，발병솔남성고우녀성，주요치상원인위교통사고（56．34％），골절선다위우과상돌경부（60．56％）。치료후수방1년，수술조환자재최대장구도、교아합관계、섭하합관절동통、하합골활동도등방면여비수술조비교차이균무통계학의의（균 P ＞0．05）。결론과상돌골절호발우청중년남성，교통사고위주요치상원인，과경시호발부위；과상돌골절적치료응종합고필환자적골절부위、이위정도、복위난역정도、년령、전신정황이급환자적의원등방면래결정。
Objective To investigate the clinical characteristics and treatment of fractures of the mandibular condyloid process.Methods Seventy-one patients with fractures of the mandibu-lar condyloid process were assigned to receive either open reduction and internal fixation (opera-tion group,n=25)or manual reduction (non-operation group,n=46).The age,gender,etiology, fracture site,fracture type,treatment method and complications were analyzed in both groups.Re-sults Fractures of the mandibular condyloid process often occurred in people between 21 and 30 years of age,and the incidence in males was higher than that in females.The main cause of frac-tures of the mandibular condyloid process was traffic accident (56.34%),and the fracture line was mainly located at condylar neck (60.56%).After 1 year of follow-up,no significant differ-ences in maximal mouth opening,normal occlusion,temporomandibular joint pain and mandibular activity were found between the two groups (P >0.05).Conclusion Fractures of the mandibular condyloid process often occur in young adult males and are mainly located at condylar neck.Traf-fic accident is the main cause of fractures of the mandibular condyloid process.The treatment of fractures of the mandibular condyloid process is based on the fracture site,degree of displace-ment,degree of difficulty of reduction,age,general condition and willingness of patients.
