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目的探讨手术方法以及保守方法治疗下颌骨髁状突骨折的适应证。方法根据治疗方法将2010年3月~2012年9月本院口腔颌面外科收治的48例下颌骨髁状突骨折患者分为观察组与对照组。观察组为错颌畸形明显、下颌运动严重受影响、髁状突骨折端移位明显或相互重叠的患者,共有患者27例,接受手术治疗。对照组患者为骨折端无明显移位、经牵引可以使咬牙合关系恢复正常、考虑面部容貌的闭合性骨折患者,共有患者21例,接受保守治疗。所有患者在治疗结束后接受12个月的随访,现对比分析两组患者的疗效。结果治疗结束后第3个月、第12个月,两组患者治疗效果相比差异均无统计学意义(P>0.05)。结论在临床上治疗下颌骨髁状突骨折患者时应严格掌握手术方法以及保守治疗方法的适应证,根据下颌骨髁状突骨折患者的病情选择相应的治疗方法可以取得良好的疗效。
Objective To investigate the surgical methods and conservative treatment of mandibular condylar fractures indications. Methods According to the treatment, 48 cases of mandibular condyle fracture treated in our hospital from March 2010 to September 2012 were divided into observation group and control group. The observation group was the patients with the wrong jaw deformity obviously, the mandibular movement seriously affected, and the condylar fractures displaced obviously or overlapped. A total of 27 patients were undergone surgical treatment. Patients in the control group had no significant displacement of the fracture, and the traction can make the occlusion relationship return to normal. Considering the facial appearance of the closed fracture patients, a total of 21 patients received conservative treatment. All patients received 12 months of follow-up after the end of treatment, the efficacy of the two groups were compared. Results At the 3rd month and the 12th month after the treatment, there was no significant difference in the therapeutic effect between the two groups (P> 0.05). Conclusion In clinical treatment of mandibular condylar fracture patients should be strictly controlled surgical methods and indications of conservative treatment, according to the condition of patients with mandibular condylar fracture select the appropriate treatment can achieve good results.