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[目的]探讨下颌骨髁突骨折的发生、治疗特点和预后情况。[方法]通过对65例86侧髁突骨折病案资料的调查,对髁突骨折的发生年龄、性别、致伤原因、骨折类型、合并伤、治疗及随访情况进行分析。[结果]髁突骨折好发于21～30岁;男性多于女性;摔伤(32例)为主要致伤原因;髁突骨折42侧发生在囊内,其中矢状骨折40侧,37侧发生在髁颈部;23例合并颏部骨折;7例(12侧)采用闭合治疗,58例(74侧)采用手术治疗,切开复位内固定62侧,摘除骨折片12侧;25例随访患者治疗后下颌能进行良好的前伸、侧运动。[结论]髁突骨折好发于囊内,以矢状骨折多见。跌落伤是髁突骨折的主要原因,手术治疗是主要手段。
[Objective] To investigate the occurrence, treatment characteristics and prognosis of mandibular condylar fractures. [Methods] The data of 65 cases with condylar fracture of 86 cases were investigated to analyze the age, sex, cause of injury, fracture type, combined injury, treatment and follow-up of condylar fracture. [Result] Condyle fractures occurred in 21 to 30 years old; more men than women; fall (32 cases) was the main cause of injury; 42 condylar fractures occurred in the cysts, including 40 sides of sagittal fracture and 37 sides 23 cases were complicated with chin fractures; 7 cases (12 sides) were treated by closed procedure; 58 cases (74 sides) were treated by surgery; 62 cases underwent reduction and internal fixation; 12 cases were removed; After treatment of patients with good mandibular protraction, lateral chin exercise. [Conclusion] Condyle fractures occur in the cysts and are more common in sagittal fractures. Drop injury is the main reason for condylar fractures, surgical treatment is the main means.