髁突骨折36例病例回顾性研究及文献复习

发布时间：2018-04-24 08:14

本文选题：髁突骨折 + 回顾性研究　；参考：《浙江大学》2014年硕士论文

【摘要】：目的通过对36例髁突骨折病例资料进行回顾分析,总结髁突骨折的发生特点,探讨治疗方法选择的原则和适应证,对比不同治疗方法的优缺点,为髁突骨折的治疗提供参考依据。方法收集浙江大学医学院附属第二医院2010年1月至2011年10月的所有髁突骨折病例36例(52侧),采集患者入院时的详细病案资料。记录治疗过程,对病例随访2年以上,记录治疗效果及出现的并发症。对发病年龄、性别、致伤原因、骨折类型、合并伤、治疗方式及并发症等进行统计分析。结果髁突骨折男女比为3：1,青壮年占44.44%。致伤原因以交通伤和坠落伤最常见,分别为33.33%和30.55%。高中低位骨折分别占42.30%、46.15%和11.54%,其中63.88%合并其它部位骨折。手术治疗15例,占41.67%,保守性治疗21例,占58.33%。发生并发症张口受限6例,咬合紊乱2例,术区麻木3例,关节不适症状3例,面神经麻痹1例。结论髁突骨折男性多于女性,青壮年是骨折的好发人群,最常见的致病因素为交通伤和跌坠伤。髁突骨折最好发颈部,合并颏部骨折最常见。髁突骨折治疗方法主要有保守性治疗和手术治疗,骨折部位越高越倾向于保守性治疗,儿童髁突骨折多选择保守性治疗。治疗方法的选择需结合患者年龄、骨折部位及位移程度、并发伤等多因素综合考虑。只要方法选取得当,手术治疗与保守性治疗对于单一病例个体都可以取得满意的治疗效果。手术治疗并发症常见张口受限、面神经麻痹、术区麻木等。保守性治疗并发症常见咬合紊乱、颞下颌关节弹响疼痛等。
[Abstract]:Objective to retrospectively analyze the data of 36 cases of condylar fracture, summarize the characteristics of condylar fracture, discuss the principles and indications of treatment, and compare the advantages and disadvantages of different treatment methods. To provide reference for the treatment of condylar fracture. Methods from January 2010 to October 2011, 36 patients with condylar fracture were collected from the second affiliated Hospital of Zhejiang University Medical College. Record the course of treatment, follow up for more than 2 years, record the therapeutic effect and complications. Age, sex, cause of injury, fracture type, combined injury, treatment and complications were statistically analyzed. Results the ratio of male and female in condylar fracture was 3: 1, and 44.44% in young adults. The most common causes of injury were traffic injury and falling injury, which were 33.33% and 30.55%, respectively. 46.15% and 11.54% of the middle and low fractures were respectively 42.30% and 11.54% respectively, of which 63.88% were complicated with other fractures. Surgical treatment was performed in 15 cases (41.67%), conservative treatment in 21 cases (58.33%). Complications occurred in 6 cases with limited opening of mouth, 2 cases with occlusal disorder, 3 cases with numbness in operation area, 3 cases with joint discomfort and 1 case with facial nerve paralysis. Conclusion the fracture of condylar process is more common in male than in female. The most common risk factors of condylar fracture are traffic injury and falling injury. Condylar fractures are most common in the neck, and most commonly associated with mental fractures. Condylar fractures are mainly treated with conservative treatment and surgical treatment. The higher the fracture site is, the more conservative treatment is preferred in children with condylar fracture. The choice of treatment methods should be combined with multiple factors, such as patient's age, fracture position and degree of displacement, complicated injury and so on. As long as the methods are properly selected, both surgical and conservative treatment can achieve satisfactory results for individual patients. The common complications of surgical treatment were limited mouth opening, facial paralysis, numbness of operation area and so on. Conservative treatment of complications common occlusion disorder, temporomandibular joint bounce pain and so on.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R782.4

【参考文献】