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目的 :对比各类髁状突骨折治疗方法的疗效。方法 :回顾分析 1990年至今收治的 68例 84侧髁状突骨折的治疗情况。结果 :无骨折移位的Ⅰ类骨折保守治疗效果较好 ;Ⅱ类 (骨折片成角移位 )、Ⅲ类 (骨折片重叠 )手术治疗效果显著优于保守治疗 (P <0 .0 5 ) ,前者痊愈和显效为 73 .2 2 % ,后者则主要是微效和无效 (60 % ) ,痊愈率仅 13 .3 3 % ;Ⅳ类 (髁状突断端脱出关节凹 )手术治疗效果较好。结论 :对于有移位的髁状突骨折应积极手术治疗。
Objective: To compare the efficacy of various condylar fractures. Methods: A retrospective analysis of 68 cases of condylar fractures in the treatment of 84 cases since 1990. Results: The conservative treatment of type Ⅰ fractures without fractures was effective. The surgical treatment of type Ⅱ fractures with angular displacement and type Ⅲ fractures was superior to conservative treatment (P <0.05) , The former was cured and effective 73.22%, the latter is mainly ineffective and ineffective (60%), the cure rate was only 13.33%; Ⅳ type (condylar protrusion prolapse of the joint concave) surgical treatment effect better. Conclusion: For surgical treatment of condylar fractures with displacement.