225例髁突骨折病例的回顾性研究

A Retrospective Study on 225 Condylar Fracture Patients

目的:总结髁突骨折治疗方法选择的原则和适应征,为髁突骨折的治疗提供参考依据。方法:对225例髁突骨折住院病例进行回顾性分析,对患者的受伤年龄、性别、受伤原因、部位、合并损伤、治疗方法、疗效等方面进行分析。结果:髁突骨折多见于20-49岁男性,交通伤害的成年患者的常见病因,跌落损伤是小孩和老人患者的常见病因。骨折常发生在髁突颈,多合并颌面部其他部位骨折。高位骨折和(或)没有明显移位的骨折常采用保守治疗,中低位骨折和(或)有明显移位的骨折常采用手术治疗。结论:髁突骨折的高发人群是青壮年,最常见的致病因素为交通伤;现阶段髁突骨折的治疗方法主要有保守治疗和手术治疗,治疗方法的选择跟患者年龄、骨折部位和移位程度相关。

Objective： The aim of this study was to summarize the treatments for condylar fracture, and to provide future clinical work for information. Method： A retrospective survey of 225 condylar fracture patients＇ case files was done. The age, sex, etiology, location of the fracture, degree of displacement, complicating injuries, and treatment of the patients were observed. Results： Condylar fracture happened mostly to 20- to 49-year-old males. Traffic injury was the highest factor that caused adults＇ condylar fracture, as falling in children and the old. The most common position where fracture occurred was the neck of the condylar process, meanwhile most condylar fracture was accompanied with mandibular mental fracture. Most of children and old patients took the conservative treatment, and most of the adult were operated. The high-position fractures and （or） the non-obviously displaced fractures mostly took the conservative treatment, however, middleor low-position fractures, and （or） the obviously displaced fractures were mostly operated. Conclusions： Nowadays, 20- to 49-year-old males are most likely to have condylar fracture. Traffic injury is the highest factor that causes adults＇ condylar racture, as falling in children and the old. The treatments for condylar fracture include conservative treatment and operation, whieh depends on the age of the patient, location of the fracture, and degree of displacement.