【作者】 唐震； 吕春堂； 周中华； 徐晓刚；

【Author】 Tang Zhen, Lv Chun - tang, Zhou Zhong - hua, Xu Xiao - gang Stomatological Department, Changhai Hospital, Second Military Medical University, Shanghai 200433

【机构】 第二军医大学长海医院口腔科；

【摘要】 <正>目的:根据髁状突骨折的不同临床表现分别选择保守治疗与手术治疗,并比较两种疗法的效果,为适应证合理选择提供临床依据。方法:总结1996年7月-2003年7月间收治的81例(98侧)髁状突骨折的治疗情况,根据骨折的部位,移位的方向、程度,临床表现以及患者的年龄和意愿选择治疗方法,28例 (33侧)保守治疗,53例(65侧)手术治疗,并随访半年-3年。对随访的81例患者,依据X线摄片,咬颌关系,张口度及治疗后并发症四项作为评价标准,结果:保守治疗效果总体优良率为81．3％,手术治疗效更多还原

【Abstract】 OBJECTIVE Select nonsurgical and surgical treatment according to clinical symptom of condylar fractures and evaluate the curative effect of the two methods. METHODS 81 cases with 98 condylar fractures, 28 were treated by maxillomandibular fixations, 22 wiring fixations, 25 microplate fixations and 6 condylar extractions. The methods were chosen according to the area and displaced degree and orientation and clinical symptom of condylar fractures, age and apiration of patients. All patients were seen at half a year to three years postopera-tively. RESULTS We evaluate the curative effect of 81 postoperative case according to X ray, occlusion, mouth opening and complications after treatment. The satisfactory rate of nonsurgical treatment is 81. 3% , surgical treatment is 92.6%. CONCLUSIONS Every treatment of condylar fractures has its own advantages and disadvantages. Treatment should be chosen according to the situation of patients.更多还原