钛板内固定联合正畸技术在治疗陈旧性颌面骨折中的应用  

Orthodontic technique and rigid internal fixation with titanium micro-plates in treatment of maxillo-facial bone stale fractures

作　　者：邹亚楠[1] 张君[2] 林聪[1] 任旭升[2] 王旭霞[2] 

机构地区：[1]胜利油田中心医院口腔科,山东东营257034 [2]山东大学口腔医学院正畸科,济南250012

出　　处：《山东大学学报（医学版）》2008年第6期631-633,共3页Journal of Shandong University:Health Sciences

基　　金：山东省科学技术发展计划项目资助课题(2006GG2202031);东营市科技攻关项目资助课题(2006-24)

摘　　要：目的探讨微型钛板内固定联合正畸技术在陈旧性颌骨骨折中的应用。方法对45例陈旧性颌面骨折患者采取术前行螺旋CT扫描及三维重建明确骨折部位及程度，经手术切开复位并行微型钛板内固定，术后进行正畸治疗，随访观察治疗效果。结果45例患者经4-18个月的随访，双侧颜面部对称，张口度正常，咬合关系恢复。结论手术复位后采取微型钛板内固定联合正畸技术治疗陈旧性颌骨骨折可获得满意效果。Objective To explore the effect of rigid internal fixation of titanium micro-plates allied with the orthodontic technique against maxillo-facial bone stale fractures. Methods Orthodontic technique and rigid internal fixation with titanium micro-plate were used in 45 patients suffering from maxillo-facial bone stale fractures. 3D spiral CT was used to define the position and extent of fractures. Rigid internal fixation of titanium micro-plates was used in fixation of fractures. Orthodontic treatments were proved after surgeries. Results After a follow-up for 4-18 months, all patients regained bilateral symmetrical faces, normal mouth opening and occlusion recovery. Conclusion Rigid internal fixation of titanium micro-plates allied with orthodontic technique is a good choice for maxillo-facial bone stale fracture treatment.

关 键 词：骨折 正畸技术 钛板 坚固内固定 

分 类 号：R782.4[医药卫生—口腔医学]