双侧髁突骨折治疗的临床分析

Clinical analysis of bilateral condylar fracture

目的对双侧髁状突骨折手术治疗与保守治疗的效果进行分析。方法对20例双侧髁部骨折患者分别进行手术与保守治疗,并进行追踪随访。通过X线片检查、主观与客观的临床检查对两种治疗方法的效果进行分析。结果两组患者术后在最大开口度、下颌运动等方面无显著差异,开口时下颌偏斜、开口疼痛等方面发生率手术组低于非手术组,但无显著性差异;手术组髁突复位准确度明显高于保守治疗组。结论单纯髁颈部骨折,保守治疗与手术治疗均可达较满意的效果。但术后6个月到3年随访时非手术组颞下颌关节紊乱的发生率高于手术组。

Objective To compare the results of surgical and nonsurgical treatment of bilateral condylar fracture. Methods Twenty patients with bilateral condylar fracture were treated by surgical or nonsurgicl methods. In the follow-up study, we analysed the results through radiographs, subjective and objective clinical check-up. Results No significant difference was observed in maximal mouth opening, condylar mobility, occlusion, mandible deflextion between surgical and nonsurgical groups; the risk of TMD in nonsurgical group was higher than that in surgical group. Conclusion Surgical and nonsurgical treatment both can reach the satisfying results in the fracture of condylar cervix, but the incidence of TMD in nonsurgical group was higher than that in surgical gourp 6 months to 3 years after the operation.