摘要
目的:回顾分析颌面部骨折的临床特点及治疗措施。方法:收集2001—2006年间住院治疗的下颌骨粉碎性骨折患者共31例,对其一般临床资料及治疗方法进行分析总结。结果:下颌骨粉碎性骨折患者男性(27例,占88%)多于女性(4例,占12%),交通事故为第一损伤原因;伤口I期愈合、骨折对位良好、面型及功能恢复正常者29例,占93.5%。结论:下颌骨粉碎性骨折以下颌体部合并下颌角及髁突骨折发生较多,其复位固定及恢复咬合关系均有一定难度,坚固内固定技术在粉碎性骨折的诊断与治疗中起了较大的作用,选择合适的美学切口切开,骨折复位,行坚固内固定治疗,效果可靠,优点明显。
Objective： To study the clinical characteristics and treatment of comminuted mandible fractures. Methods： Records of 31 patients with eomminuted mandible fractures from 2001 to 2006, were reviewed and analyzed. Results： The number of male patients was more than female patients. Traffic accident was the main risk factor of multiple mandible fractures. 26 cases were cured with satisfied results in function and appearance （93.5%）. Conclusion： The commonly fracture position is chin, condylar and mandibular angle. 3D-CT imaging and mini-plate rigid fixation technology play an important role in the diagnosis and treatment. The treatment using mini-plate rigid fixation by aesthetic incision is a simple and effective way.
出处
《口腔颌面外科杂志》
CAS
2009年第4期276-279,共4页
Journal of Oral and Maxillofacial Surgery
