中文摘要：

目的：髁突骨折是临床常见病和多发病，其治疗方法目前尚存在着一定争议。本研究拟总结髁突骨折治疗方法选择的原则和适应征，旨在为髁突骨折的治疗提供更多的参考依据。方法：对四川大学华西口腔医院收治的119例治疗后6个月以上的髁突骨折患者进行远期疗效调查，以电话随访的方式作问卷调查，询问患者的张口度、语言、吞咽功能、咬合、面部容貌、并发症、对疗效的满意程度等，按照治疗方法对患者进行分类，根据患者的情况评价该组病例的治疗效果及满意度，并评价髁突骨折治疗方法的选择是否合理。结果：参与随访的119例患者中，107例对疗效满意，满意率为89．92％，50例出现明显并发症，并发症发生率为42．02％。按照治疗方法将患者分为保守治疗、内固定、髁突摘除等6类，每种治疗方法的满意率比较无统计学差异（P〉0．05），而并发症的发生率比较有统计学差异（P〈0．05）。结论：在正确选择治疗方法的前提下，保守治疗和手术治疗髁突骨折均可取得较令人满意的疗效，但应尽量避免采用髁突摘除术。

英文摘要：

Objective： Condylar fracture of the mandible is one of the commonest trauma injuries of the cranial and maxillofacial region. This study was designed to summarize the selection of the treatment for condylar fracture, and to provide references for the treat- ment of condylar fracture. Methods： 119 patients who were treated more than 6 months were investigated for a long-term telephone fol- low-up, by being asked for their degree of mouth opening, speaking and swallowing functions, occlusion, facial morphology, complica- tions, and satisfaction with the treatment. Then the patients were classified according to their treatment and the outcomes were observed and analyzed. Whether the selection of the treatment was reasonable was also assessed. Results： Among the investigated patients, 107 pa- tients （89.92%） were satisfied with the curative effect, and 50 patients （42.02%） complained of some of the complications. The patients were divided into 6 groups by their treatment, among which there was no statistically significant difference in the percentage of satisfac- tion and there were statistically significant differences in the percentage of complications. Conclusion： Based on the correct selection of the treatment, both the conservative treatment and operation could achieve satisfactory curative effect. However, condylar removal should be eliminated in the future.