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髁突骨折不同治疗方法的临床分析

Clinical analysis of differ treatment approach of condylar fracture
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摘要 目的:评价髁突骨折不同治疗方法的疗效。方法:回顾郑州大学一附院口腔科收治的髁突骨折50例,分别采用开放复位内固定术、髁突摘除术、保守治疗等方法;进行随访。结果:随访15例,其中,手术治疗14例。8例满意,1例关节区疼痛,2例开口受限及牙合关系紊乱,3例出现前牙开牙合;保守治疗1例,效果满意。结论:交通事故是主要的致伤原因。手术治疗是主要的治疗方法,坚固内固定术效果满意,摘除髁突易引起牙合关系紊乱。 Objective: The purpose of the study was to avaluate the curative effect of condylar fracture. Methods: Retrospecting 50 inpatients with condylar fracture in stomatology department between 2002 and 2005 and following up. The opening reduction and internal fixation, condyle extraction, non-surgical treatment were adopted.Results: follow-up 15 patients, surgical treatment 14 patients: 8 patients is satisfaction, TMJ pain in 1 patient, opening mouth limited and malocclusion in 2 patients, open-bite of antiorer teeth in 3 patients. Non-surgical treatment 1 patient was satisfaction.Conclusion: Traffic accident is the master causation. Surgical treatment was the primary cure methods. Curative effect of internal fixation was satisfaction, but malocclusion usually appear in condylar extirpation.
出处 《中国民康医学》 2008年第14期1542-1542,1658,共2页 Medical Journal of Chinese People’s Health
关键词 髁突 骨折 坚固内固定 随访 Condyle Fractures Rigid internal fixation Follow-up
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