颧骨复合体骨折固定方法和固定部位的临床研究  

Clinical analysis of fixation methods and sites in treatment of zygomatic complex fractures

作　　者：张清彬[1] 东耀峻[2] 李祖兵[2] 赵吉宏[2] 董福生[1] 

机构地区：[1]石家庄河北医科大学口腔医学院,050017 [2]武汉大学口腔医学院

出　　处：《实用口腔医学杂志》2007年第5期696-699,共4页Journal of Practical Stomatology

摘　　要：目的:回顾性分析152例颧骨复合体骨折的固定方法和部位特点。方法:对从1990-11～2004-12在武汉大学口腔医院颌面外科救治、资料完整、行手术治疗的152例颧骨复合体骨折病例进行回顾性临床研究。结果:交通事故是导致颧骨复合体发生骨折的主要因素之一。在152例手术复位固定患者中,有108例采取头皮冠状切口(必要时,附加小切口),44例单纯采取局部小切口;有123例采取钛板坚固内固定,22例采用单纯钢丝栓结;其余7例未做固定。固定部位:共应用328块钛板,其部位分布为颧额缝96块、颧颌缝及颧牙槽嵴45块、颧颞缝92块,骨折断端95块。术后随访平均3年(6～72个月),96.9%的患者取得了良好的治疗效果。结论:冠状切口(必要时候,附加小切口)可获得满意的治疗效果。颧骨复合体骨折的固定方式:坚固内固定逐渐替代了钢丝固定;固定部位主要集中于颧骨复合体区的水平力柱和垂直力柱上。Objetive：To analyze the fixation methods and sites in treatment of zygomatic complex fractures of 152 patients. Methods：The clinical data of 152 patients from 1990 to 2004 were investigated and analyzed, which focused on the changing trend of etiology and treatment methods. Results：Traffic accident was the primary reason for zygomatic complex fractures in China. 152 patients received primary, timely reduction and fixation; Scalp coronal incision in combination with other incisions or alone was applied in 108 patients, the rest were treated by single local incisions. Rigid internal fixation was applied in 123 cases, and the single application of transosseous wire fixation was performed in 22 patients. 328 Ti plates were used. As to the fixation sites, 96 were applied at the zygomatic- frontal suture, 45 plates at zygomatic-maxillary suture and zygomatic crest, 92 plates at zygomatic-temporal suture, and 95 plates across the fracture line. Conclusion：Scalp coronal incision in combination with other incisions or alone can provide satisfactory outcome. Early, timely reduction and rigid internal fixation may result in better treatment resuits. The sites are focused at zygomatic-frontal suture, zygomatic-maxillary suture and zygomatic crest, zygomatic- temporal suture and the fracture line which restore the horizontal and vertical force route.

关 键 词：颧骨复合体 骨折 固定方法 固定部位 力柱 

分 类 号：R782.4[医药卫生—口腔医学]