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目的:比较下颌骨髁突骨折手术与非手术治疗的效果。方法:收集1987年1月—2009年6月在我科接受诊疗、临床资料完整的髁突骨折患者的资料,对致病因素、骨折类型、治疗方法和治疗效果进行回顾分析,比较手术与非手术治疗的效果。结果:228例患者被纳入研究,其中手术治疗130例,非手术方法治疗98例,平均随访1.5a。以开口度、咬合关系恢复和X线检查为疗效观察指标,2种方法的治疗效果良好。结论:适应证选择恰当时,手术与非手术方法治疗髁突骨折都能获得良好的治疗效果。对于幼儿或学龄前儿童,由于髁突生长发育及关节改建功能,可考虑非手术治疗。
Objective: To compare the effect of non-surgical treatment of mandibular condyle fracture. Methods: The data of patients with condylar fractures who were admitted to our department from January 1987 to June 2009 with complete clinical data were collected. The pathogenic factors, fracture types, treatment methods and treatment effects were retrospectively analyzed. Surgical treatment effect. Results: 228 patients were enrolled in the study, including 130 cases of surgical treatment, 98 cases of non-surgical treatment, with an average follow-up of 1.5a. To open degree, occlusal relationship recovery and X-ray examination for the efficacy of indicators, the two methods of treatment is good. Conclusion: When indications are appropriate, surgical treatment and non-surgical treatment of condylar fractures can get a good therapeutic effect. For young children or pre-school children, due to the growth and development of condyles and joint reconstruction function, consider non-surgical treatment.