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目的探讨髁突骨折手术治疗和保守治疗的临床疗效。方法回顾性分析2003-2009年在本院治疗的120例髁突骨折者的临床资料,总结根据骨折不同特点所采取治疗方法的治愈率,比较临床疗效。结果保守治疗治愈率78.9%,手术治疗治愈率85.4%;年龄≤14岁组治愈率为71.4%,年龄﹥14岁组治愈率为85.8%,总体治愈率83.3%。不同年龄组、不同骨折部位采用不同治疗方法其治愈率的差异无统计学意义。结论根据髁突骨折部位、特点及患者年龄等适应证采取相应的治疗方法均可以取得较好的治疗效果,但各有优缺点,应综合考虑选择治疗方法。
Objective To investigate the surgical treatment of condylar fractures and conservative treatment of clinical curative effect. Methods The clinical data of 120 cases of condylar fractures treated in our hospital from 2003 to 2009 were retrospectively analyzed. The cure rates of the treatment methods taken according to the different characteristics of fractures were summarized, and the clinical curative effects were compared. Results The cure rate of conservative treatment was 78.9%, and the cure rate of surgical treatment was 85.4%. The cure rate of 71.4% of patients ≤ 14 years of age and 85.8% of patients of> 14 years of age, the overall cure rate was 83.3%. There was no significant difference in cure rate between different age groups and different fractures using different treatment methods. Conclusion According to indications such as condylar fracture location, characteristics and patient’s age indications, the corresponding treatment can achieve better therapeutic effect, but each has its own advantages and disadvantages, and should consider the choice of treatment.