目的 探讨髁状突骨折的发病特点及治疗方案的选择.方法 收集127例髁状突骨折患者的病案资料,从发病人群的年龄结构、性别差异、致伤因素、骨折部位及类型、是否合并伤、治疗方法 与时机、并发症及后遗症等方面进行回顾性分析.结果 髁状突骨折好发于20~39岁人群,发病率男性高于女性,主要致伤因素为交通事故(55.90%),骨折线多位于髁突中上部,尤其是颈部(57.48%),且多合并下颌骨其他部位骨折(74.01%).儿童选择保守治疗、成人选择手术治疗效果较理想.127例中5例患者分别在伤后1~5年发生关节强直.结论 髁状突骨折好发于青壮年男性,交通事故为主要致伤因素,髁突颈部是好发部位,儿童宜选用保守治疗,成人可手术干预,适宜的治疗可减少关节强直等严重并发症.%Objective To explore the characteristics and treatment options of condylar fractures. Methods 127 cases of condylar fractures from 2001 to 2012 in the First Affiliated Hospital of Anhui Medical University were collected, then we retrospectivly analyzed the cases on the age structure, gender difference, injury-factors, fracture sites and types, concomitant injuries, treatment methods and time, complications and sequelaes. Results Condylar fracture occurred mainly in male more than famale, especially those who were 20 ~ 39 years old. Traffic accident was the main injury factor ( 55. 90% ). The fracture lines mostly located in the upper part of the condylar,especially in the neck( 57. 48% ), with fractures of other parts ( 74. 01% ), mainly the other parts of the mandible. The conservative treatment was advised for children, but the surgical treatment was suitable for adults. Among the 127 patients, five suffered the onset of joint ankylosis respectively in 1 ~ 5 years. Conclusion Condylar fracture happens especially on 20 ~ 39 years old male, and the main injury factor is traffic accident. Condyle neck is the easily injuried site, while conservative treatment and surgical treatment are respectively advised for children and a-dults. Proper treatment can reduce some serious complications, such as temporomandibular joint ankylosis.
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