[1]潘志燕,马旭亮,代福月,等.儿童髁突骨折不同治疗方式的选择及疗效回顾性分析?/html>[J].中国美容医学,2021,(11):90-94.
　PAN Zhi-yan,MA Xu-liang,DAI Fu-yue,et al.Retrospective Analysis of Different Treatment Options and Curative Effects of Condyle Fractures?/html>[J].Medical Aesthetics and Beauty,2021,(11):90-94.
点击复制

儿童髁突骨折不同治疗方式的选择及疗效回顾性分析?/html>()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年11期
页码:
90-94
栏目:
出版日期:
2021-11-10

文章信息/Info

Title:
Retrospective Analysis of Different Treatment Options and Curative Effects of Condyle Fractures?/html>
文章编号:
1008-6455(2021)11-0090-04
作者:
潘志燕1 ; 马旭亮2 ; 代福月1 ; 王云肖3 ; 孙红蕾4 ; 王钰宁
Author(s):
PAN Zhi-yan1 ; MA Xu-liang2 ; DAI Fu-yue1 ; WANG Yun-xiao3 ; SUN Hong-lei4 ;  WANG Yu-ning5
关键词:
[关键词]髁突骨折; 保守治疗; 手术治疗; 下颌骨; 内固定
Keywords:
Key words: condyle fracture;  conservative treatment;  surgical treatment;  mandible;  internal fi xation
分类号:
R782.2
文献标志码:
A
摘要:
[摘要]目的：探究保守治疗和手术治疗对儿童髁突骨折患者的疗效差异。方法：选择2018年5月-2019年5月在邢台市第三医 院口腔科治疗的90例髁突骨折患儿的病历资料进行回顾性分析。所有患儿根据治疗方法的差异分为对照组和观察组，每组45 例。对照组采用手术治疗的方法，观察组使用保守治疗的方法。对比两组的治疗效果、影像学结果分级、下颌骨三维 重建指标、下颌运动功能及不良反应的情况。结果：观察组治疗有效率93.33%，对照组治疗有效率88.89%，两组比 较差异无统计学意义（P＞0.05）。观察组的影像学改变有效率91.11%，对照组的影像学改变有效率86.67%，两组比 较差异无统计学意义（P＞0.05）；治疗后6个月，两组的颞下颌关节窝深度的数据比较差异无统计学意义（P＞0.05）。 观察组的髁突横径高于对照组，髁突宽度、骨性颏点偏斜度低于对照组（P＜0.05）；治疗后6个月，观察组的张口度大于对 照组（P＜0.05）。两组治疗过程中的不良反应发生率比较差异无统计学意义（P＞0.05）。治疗后2年，所有患儿的恢复情 况良好，最大张口度平均为（42.81±3.92）mm。结论：对于儿童髁突骨折患者，采用保守治疗的方法可获得同手术治疗较 为类似的疗效，保守治疗的方法对于改善患儿的下颌运动功能以及保持下颌骨对称性更具有优势。
Abstract:
Abstract: Objective To explore the difference in curative effect between conservative treatment and surgical treatment in children with condylar fractures. Methods The medical records of 90 children with condyle fractures treated in the department of stomatology of xingtai third hospital from May 2018 to May 2019 were selected for retrospective analysis. All children were divided into a control group and an observation group according to the diff erence of treatment methods, with 45 cases in the control group and 45 cases in the observation group. The control group used surgical treatment, and the observation group used conservative treatment. Compare the treatment eff ects, imaging results classifi cation, mandibular three-dimensional reconstruction indexes, mandibular motor function, and adverse reactions of the two groups. Results The effective rate of treatment in the observation group was 93.33%, and that in the control group was 88.89%, the diff erence was not statistically signifi cant (P＞0.05). The eff ective rate of imaging changes in the observation group was 91.11%, and the eff ective rate of imaging changes in the control group was 86.67%, the diff erence was not statistically signifi cant (P＞0.05). Six months after treatment, there was no signifi cant diff erence in the depth of the temporomandibular joint between the two groups (P＞0.05). The transverse diameter of the condyle of the observation group was higher than that of the control group, and the width of the condyle and the deviation of bony mental point were lower than those of the control group (P＜0.05). Six months aftetreatment, the mouth opening of the observation group was greater than that of the control group (P＜0.05). There was no statistically signifi cant diff erence in the incidence of adverse reactions between the two groups during treatment (P＞0.05). Two years after treatment, all children recovered well, with an average maximum mouth opening of (42.81±3.92) mm. Conclusion For pediatric patients with condylar fractures, conservative treatment methods can obtain similar eff ects as surgical treatments. Conservative treatment methods have more advantages in improving the children’s mandibular motor function and maintaining the symmetry of the mandible.?/span>

相似文献/References:

[1] 何晓玲,陈 丹,唐坤伦. 儿童单侧髁突骨折保守治疗后面部对称性的三维测量分析[J].中国美容医学,2020,(12):59.
　 HE Xiao-ling,CHEN Dan,TANG Kun-lun. Three-dimensional Measurement and Analysis of Posterior Symmetry of ConservativeTreatment of Unilateral Condylar Fracture in Children[J].Medical Aesthetics and Beauty,2020,(11):59.

更新日期/Last Update: 2021-12-02