目的

探讨不同年龄段患者髁突骨折临床特点并进行比较分析。

方法

收集髁突骨折患者的病历及X 线资料，并进行复诊随访，对不同年龄段患者髁突骨折临床和X 线特点进行比较分析。

结果

共收集224 例髁突骨折患者资料，复诊患者52 例，随访率31.5%，保守治疗与手术治疗均能取得较为满意的效果。

结论

患者致伤因素中，交通事故最多见（45.1%）；髁突骨折的发生部位可能与年龄相关， 儿童时期高位骨折较为多见， 青少年和成年人则以髁下骨折最多见。 单侧骨折较双侧骨折更易出现低位骨折。 成年人较儿童和青少年更容易出现较严重的移位。

Objective

To analyze the characteristics of mandibular condyle fractures of patients of different ages.

Methods

Medical records and X-ray data of patients with condylar fractures were collected and re-analyzed. The patients were informed to revisit. The radiographic data and clinical results of the examination were studied.

Results

Data of 224 patients were collected and 52 patients were followed up successfully.Both conservative and surgical treatment showed good results.

Conclusions

Traffic accidents are the most common reason for condylar fractures. The site of condylar fracture seems age-related， higher site condylar fracture occurs more often in children than in teenagers and adults. Lower site condylar fracture occurs more often in unilateral fractures than in bilateral fractures. Severe displacement of the fractured segment was seen more often in adults than in children and teenagers.