摘要
目的评估超声辅助内固定术治疗面中部骨折的效果和并发症。方法选取2010年1月1日至2013年3月1日因面中部骨折入解放军总医院口腔颌面外科的193例患者的病历资料,其中男120例,女73例,平均年龄47岁(13~88岁)。骨折部位包括上颌骨骨折、颧骨颧弓骨折、眼眶骨折,鼻眶筛区骨折及其他承力较弱的骨折区域。分为超声辅助内固定组(使用超声辅助内固定系统SonicWeld Rx治疗)的患者93例及传统内固定组(使用FIXSORB MX传统旋入式可吸收内固定术治疗)的患者100例。获取患者术前术后的临床检查与影像学检查资料及平均18个月的术后随访资料,以评估其效果及近远期并发症。结果所有患者均达到稳固固定,未发现断端移位、畸形愈合、延迟愈合或者不愈合。超声辅助内固定组共使用1333枚可吸收销钉,实用1320枚,销钉使用成功率为99%。3例患者植入物可在皮肤表面触及,随时间吸收后缓解;3例患者术后出现局部炎症,经治疗后痊愈;3例患者术后有不同程度术区肿胀;1例术后15个月时发生了无菌性肿胀,经治疗后痊愈。两组间并发症发生率差异无统计学意义。结论超声辅助内固定术治疗面中部骨折效果明确,并发症少,操作简便,无需二次取出,值得推广。
Objective To evaluate the effectiveness and complications of an uhrasound-aided biodegradable osteosynthesis system in the treatment of midfacial fractures. Methods From January 1,2010 to March 1, 2013, a total of 193 midfacial fractures patients were recruited. There were 120 males and 73 females. Among them, 93 patients were treated with SonicWeld Rx system (KLS Martin, Tuttlingen, Germany) while 100 patients FIXSORB MX (Takiron Co. ,Ltd, Osaka, Japan). The effectiveness, short- term and long-term complications were assessed by clinical examinations and computed tomography during an average follow-up period of 18 months. Results All fractures healed well without dislocation, malunion, delayed union or nonunion. Pin insertion was completed with a total success rate of 99% in SonicWeld Rx group versus 98% in FIXSORB MX group. Three patients in SonicWeld Rx group and 2 in FIXSORB MX group developed postoperative local inflammation and healed with antibiotics therapy. Hardware visibility or palpability occurred in 3 and 8 patients in two groups respectively. One patient in SonicWeld Rx group and 4 in FIXSORB MX group experienced sterile abscess at Months 12-15 postoperatively and resolved by the removal of biodegradable materials. Two cases of implant looseness were observed in FIXSORB MX group.No other procedure-related complication was noted in either group. Conclusion The ultrasound-aided biodegradable osteosynthesis of SonicWeld Rx system is both effective and safe in the treatment of midfacial fractures. And its complication rate is equal to that of traditional biodegradable fixation.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2013年第18期1418-1421,共4页
National Medical Journal of China
关键词
超声检查
内固定器
可吸收性植入物
面中部骨折
并发症
Ultrasonography
Internal fixatiors
Absorbable implants
Midfacial fractures
Complications