本文選題：髁突骨折 + 回顧性研究　； 參考：《浙江大學(xué)》2014年碩士論文

【摘要】：目的通過對36例髁突骨折病例資料進(jìn)行回顧分析,總結(jié)髁突骨折的發(fā)生特點(diǎn),探討治療方法選擇的原則和適應(yīng)證,對比不同治療方法的優(yōu)缺點(diǎn),為髁突骨折的治療提供參考依據(jù)。 方法收集浙江大學(xué)醫(yī)學(xué)院附屬第二醫(yī)院2010年1月至2011年10月的所有髁突骨折病例36例(52側(cè)),采集患者入院時(shí)的詳細(xì)病案資料。記錄治療過程,對病例隨訪2年以上,記錄治療效果及出現(xiàn)的并發(fā)癥。對發(fā)病年齡、性別、致傷原因、骨折類型、合并傷、治療方式及并發(fā)癥等進(jìn)行統(tǒng)計(jì)分析。 結(jié)果髁突骨折男女比為3：1,青壯年占44.44%。致傷原因以交通傷和墜落傷最常見,分別為33.33%和30.55%。高中低位骨折分別占42.30%、46.15%和11.54%,其中63.88%合并其它部位骨折。手術(shù)治療15例,占41.67%,保守性治療21例,占58.33%。發(fā)生并發(fā)癥張口受限6例,咬合紊亂2例,術(shù)區(qū)麻木3例,關(guān)節(jié)不適癥狀3例,面神經(jīng)麻痹1例。 結(jié)論髁突骨折男性多于女性,青壯年是骨折的好發(fā)人群,最常見的致病因素為交通傷和跌墜傷。髁突骨折最好發(fā)頸部,合并頦部骨折最常見。髁突骨折治療方法主要有保守性治療和手術(shù)治療,骨折部位越高越傾向于保守性治療,兒童髁突骨折多選擇保守性治療。治療方法的選擇需結(jié)合患者年齡、骨折部位及位移程度、并發(fā)傷等多因素綜合考慮。只要方法選取得當(dāng),手術(shù)治療與保守性治療對于單一病例個(gè)體都可以取得滿意的治療效果。手術(shù)治療并發(fā)癥常見張口受限、面神經(jīng)麻痹、術(shù)區(qū)麻木等。保守性治療并發(fā)癥常見咬合紊亂、顳下頜關(guān)節(jié)彈響疼痛等。
[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.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R782.4

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