下颌骨骨折小型钛板坚固内固定术的临床分析  

Clinical analysis of miniplate osteosynthesis of mandibular fracture

作　　者：朱守莉[1] 马新亮[1] 周洲[1] 

机构地区：[1]安徽省淮北市人民医院口腔科,235000

出　　处：《淮海医药》2008年第2期99-100,共2页Journal of Huaihai Medicine

摘　　要：目的探讨应用小型钛板坚固内固定治疗下颌骨骨折的临床效果。方法60例72处下颌骨骨折行小型钛板坚固内固定术,辅助颌间结扎固定。结果60例患者术后伤口均无感染,Ⅰ期愈合。52例恢复到术前咬牙合关系,8例出现局部咬牙合关系不良,调牙合后恢复正常。张口度>37 mm,全部病例3个月后X线复查未见骨愈合不良或假关节形成。结论下颌骨骨折的小型钛板坚固内固定效果可靠,较传统的下颌骨骨折颌间结扎固定及钢丝栓扎固定有明显的优点,但术后短时期颌间结扎固定很有必要。Objective To evaluate the reliability and effectiveness of miniplate osteosynthesis in mandibular fractures. Methods 72 mandibular fractures in 60 cases were treated with titanium miniplate osteosynthesis and postoperative intermaxillary fixation. Results No infection was found in 60 cases. 52 cases had satisfactory occlusion. 8 cases had unfavour-able local malocclusion. The mouth opening of 60 cases was over 37 mm. No delayed union and fake joint was found in X ray imaged postoperatively. Conclusion Titanium miniplate osteosynthesis is effective in the treatment of mandibular fractures. It has advantages over conventional intermaxillary fixation and wire fixation, but short period of postoperative intermaxillary fixation used to maintain the occlusion is still required.

关 键 词：下颌骨折 骨折固定术 内 小型钛板 

分 类 号：R782.4[医药卫生—口腔医学]