不同方法治疗下颌骨髁突骨折预后效果研究

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,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。

A prognosis study of mandibular condylar fractures treatment

Objective The purpose of the study was to study the prognosis of mandible condyle fracture by both treatments.Methods 51condylar 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.Results 3 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.