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56例髁状突骨折的临床分析
引用本文:杨震,曹罡,肖平,尹英,寿柏泉,黎介寿.56例髁状突骨折的临床分析[J].医学研究生学报,2008,21(12):1267-1269.
作者姓名:杨震  曹罡  肖平  尹英  寿柏泉  黎介寿
作者单位:1. 南京军医南京总医院,口腔科,江苏南京,210002
2. 南京军医南京总医院,汤山疗养区口腔科,江苏南京,210002
3. 南京军区南京总医院,解放军普通外科研究所,江苏南京,210002
基金项目:解放军医药卫生科研项目 
摘    要:目的:探讨髁状突骨折的治疗方法。方法:对56例髁状突骨折患者的临床资料进行回顾性分析。结果:髁状突骨折好发于男性(82.14%);20~50岁年龄组患者占89.29%;致伤原因多为交通事故(51.79%),摔伤占26.79%;多发伤、合并伤占48.21%,伴颏部骨折占48.21%;手术和非手术治疗后咬合关系恢复良好和基本恢复占89.29%。结论:髁状突骨折疗效与骨折损伤类型、程度、适应证选择及治疗规范性有关。术前全面了解骨折情况,选择治疗适应证,在规范治疗前提下,采用颌间牵引复位固定、手术解剖复位+钛板内固定是目前的最佳治疗方法。

关 键 词:治疗髁状突骨折  手术治疗  非手术治疗

Retrospective clinical analysis of 56 cases of condylar fractures
YANG Zhen,CAO Gang,XIAO Ping,YIN Ying,SHOU Bai-quan,LI Jie-shou.Retrospective clinical analysis of 56 cases of condylar fractures[J].Bulletin of Medical Postgraduate,2008,21(12):1267-1269.
Authors:YANG Zhen  CAO Gang  XIAO Ping  YIN Ying  SHOU Bai-quan  LI Jie-shou
Institution:YANG Zhen1,CAO Gang1,XIAO Ping2,YIN Ying1,SHOU Bai-quan1,LI Jie-shou3(1.Department of Stomatology,2.Tangshan Sanatorium,3.PLA Research Institute of General Surgery,Nanjing General Hospital of Nanjing Military Comm,,PLA,Nanjing 210002,Jiangsu,China)
Abstract:Objective: To evaluate different treatment methods for condylar fractures.Methods: Retrospective analyses were made of the clinical data of 56 cases of condylar fractures treated from January 1996 to December 2007.Results: Condylar fractures occurred mostly in males(82.14%),and 89.29% of the patients were aged 20-50 years.Traffic accidents accounted for 51.79% and falling 26.79% of the causes,48.21% of the cases accompanied with injuries of other parts of the body,and 89.29% restored to normal occlusion aft...
Keywords:Condylar fractures  Surgical treatment  Non-surgical treatment  
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