[摘要]目的:探讨髁突骨折手术治疗与非手术治疗的预后效果。方法:髁突骨折41例(51侧),其中单侧31例,双侧10例。7例(9侧)采取非手术治疗,34例(42侧)采取手术治疗。术后复查3～6个月32例,6个月以上9例。结果:3例关节疼痛,为手术治疗。3例张口受限,2例为手术治疗,1例为非手术治疗;3例错牙合,2例为手术治疗,1例为非手术治疗;3例面神经损伤,为手术治疗。结论:对于高位髁突骨折,尤其是移位不明显髁突矢状骨折,应采取非手术治疗;而对于严重移位、脱位骨折,建议手术治疗。

    [关键词]髁突;骨折;治疗

    [中图分类号]aR782 [文献标识码]A [文章编号]1008-6455(2010)05-0689-02

    A prognosis study of mandibular condylar fractures treatment

    WANG Jian-guo

    (Department of Stomatology,Pinggu District Hospital,Beijing 101200,China)

    Abstract:ObjectiveThe purpose of the study was to study the prognosis of mandible condyle fracture by both treatments. Methods51condylar fractures (unilateral 31,bicateral 10),Among 41patients.9 fracturs with slight displacement were treated non-surgically.42 fractures with severe displacement were treated surgically. Postoperative follow-up period was 3 to 6 months in 32 cases,9 cases over 6 months. Results3 patients with joint pain from surgical treatment.3 patients with mouth opening restriction:surgical treatment 2 patients,non-surgical treatment 1 patient.3 patients with occlusional disturbance: surgical treatment 2 patients,non-surgical treatment 1 patient.3 patients with facial nerve damages from surgical treatment.Conclusion Patients with minor displacement of fractured condyle would benefit from non-surgical treatment and those with moderate or severe displacement of fractured condyle should be treated surgically. ......