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目的探讨髁状突骨折分类与治疗方法的选择,为临床治疗作参考。方法回顾分析304例髁状突骨折患者共358侧髁状突骨折的临床资料,并在1年后复诊检查患者的面型、开口度,开口型,咬情况,摄X线片检查骨折愈合情况。结果按位置、移位和年龄分型:Ⅰ型180侧,Ⅱ型96侧,Ⅲ型82侧,与实际手术治疗及非手术治疗的侧数吻合。手术治疗与非手术治疗均取得较满意的效果。结论髁状突骨折的PDA分型对治疗方法的选择有一定的指导作用,手术治疗与非手术治疗针对不同的病例均可取得较为满意的疗效。
Objective To investigate the classification of condylar fractures and treatment options for clinical treatment for reference. Methods The clinical data of 358 condyle fractures in 304 condyle fractures were retrospectively analyzed. The facial shape, open degree, open type, and bite status of the patients underwent radiographic examinations at 1 year after surgery. The fracture healing was examined by radiography . Results According to the location, shift and age classification, type Ⅰ 180, type Ⅱ 96, type Ⅲ 82 side, and the actual surgical treatment and non-surgical treatment of the lateral number consistent. Surgical treatment and non-surgical treatment have achieved more satisfactory results. Conclusion The classification of PDA with condyle fractures has a guiding role in the choice of treatment methods. Surgical treatment and non-surgical treatment can achieve satisfactory results in different cases.