115例髁突骨折病例的回顾性研究

发布时间：2019-06-18 19:38

【摘要】：目的：通过回顾性分析新疆医科大学第一附属医院颌面外科诊治的115例下颌骨髁突骨折患者的临床资料,了解下颌骨髁突骨折的流行病学特点,研究不同分类髁突骨折治疗后的临床效果,总结不同治疗方法的优缺点,为临床上髁突骨折的治疗提供参考依据。方法：对新疆医科大学第一附属医院颌面外科2007年1月至2013年1月间诊治的115例下颌骨髁突骨折病例资料进行回顾性研究,对每份病例资料的性别、年龄、致伤因素、合并伤、骨折类型、并发症、治疗方式和疗效等方面进行统计学分析。结果：115例下颌骨髁突骨折患者,男性居多,占75.65%,21-30岁年龄组患者最多,占31.31%,五月及十月份发病例数最多,交通事故伤为主要致伤原因,占49.57%,大部分髁突骨折合并下颌骨颏部骨折,占53.73%。≤14岁组非手术治疗治愈率高于手术治疗,治愈率的差异无统计学意义,14岁组手术治疗治愈率高于非手术治疗,治愈率的差异无统计学意义。不同部位髁突骨折采用手术和非手术治疗,治愈率的差异无统计学意义。结论：下颌骨髁突骨折患者以男性居多,21-30岁年龄组为高发人群,最常见的致病因素为交通事故伤,合并伤中以下颌骨颏部骨折最多见,髁突颈骨折是最常见的骨折类型。≤14岁患者手术治疗出现并发症的比率较高,而14岁患者非手术治疗出现并发症比率较高。囊内骨折患者手术治疗出现并发症的比率较高,髁突颈骨折、髁突下‘骨折患者非手术治疗出现并发症的比率较高。髁突骨折手术治疗和非手术治疗各有优缺点,在临床工作中,根据患者髁突骨折的部位、特点、患者的年龄等因素综合分析选择治疗方案,可以取得较好的疗效。
[Abstract]:Objective: to analyze the clinical data of 115 patients with mandibular condylar fracture diagnosed and treated in the first affiliated Hospital of Xinjiang Medical University, to understand the epidemiological characteristics of mandibular condylar fracture, to study the clinical effect of different categories of condylar fracture, to summarize the advantages and disadvantages of different treatment methods, and to provide reference for clinical treatment of epicondylar fracture. Methods: the data of 115 cases of mandibular condylar fracture diagnosed and treated in the first affiliated Hospital of Xinjiang Medical University from January 2007 to January 2013 were studied retrospectively. the sex, age, injury factors, combined injury, fracture type, complications, treatment and curative effect of each case were analyzed statistically. Results: 115 cases of mandibular condylar fracture were mostly male (75.65%), 21 鈮，

本文编号：2501734