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目的:对125例髁突骨折病例进行回顾性研究。方法:通过对125例髁突骨折病例资料的统计,对髁突骨折的发生年龄、性别、致伤原因、骨折类型,伴发骨折、治疗方法及手术入路等进行分析。结果:髁突骨折患者125例168侧,男女比例为3.63:1,骨折最常发生于21～30岁。最常见的为跌坠伤(53例,42.4%)和交通事故伤(51例,40.8%)。囊内骨折80侧(47.6%);髁颈骨折61侧(36.3%);髁突下骨折27侧(16.1%)。颏部骨折44例(35.2%),是最常见的伴发骨折部位。手术治疗128侧(76.2%),保守治疗40侧(23.8%)。73侧(57.0%)采用耳屏前入路,33侧(25.8%)采用颌后穿腮腺入路,19侧(14.8%)采用下颌下入路。结论:髁突骨折多发于青壮年男性,交通事故伤和跌坠伤是髁突骨折最常见的原因,囊内骨折是最常见的骨折类型,颏部骨折是最常见的伴发骨折部位,手术是髁突骨折的主要治疗方法,耳屏前入路是最常用手术入路。
Objective: To retrospectively study 125 cases of condylar fracture. Methods: According to the statistics of 125 cases of condylar fractures, we analyzed the age, sex, causes of injury, fracture types, associated fractures, treatment and surgical approach of condylar fractures. Results: There were 125 cases of condylar fractures in 168 cases, the ratio of male to female was 3.63: 1. Fractures occurred most frequently in 21-30 years old. The most common were fall injuries (53 cases, 42.4%) and traffic accidents (51 cases, 40.8%). There were 80 (47.6%) intracapsular fractures, 61 (36.3%) condylar fractures, and 27 (16.1%) fractures of the condyles. Forty chin fractures (35.2%) were the most common fractures. Surgical treatment of 128 sides (76.2%), conservative treatment of 40 sides (23.8%). The anterior trabeculectomy was performed on 73 sides (57.0%), parotid gland on the 33 sides (25.8%), and submandibular approach on the 19 sides (14.8%). CONCLUSION: Condylar fractures occur frequently in young and middle-aged men. Traffic accidents and fall injuries are the most common causes of condylar fractures. Intracapsular fracture is the most common type of fracture. The chin fracture is the most common concomitant fracture site. Surgery Condylar fractures are the main treatment, tragus before the approach is the most common surgical approach.