上颌骨陈旧性骨折的内固定治疗探讨  被引量:3

Therapy for Old Fractures in Maxillary Bone with Rigid Internal Fixation

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作  者:卓建强 黄志权[2] 彭俊荣 

机构地区:[1]汕尾市海丰县彭湃纪念医院五官科,广东汕尾516400 [2]中山大学附属第二医院口腔科,广东广州510120

出  处:《中山大学学报(医学科学版)》2009年第A04期64-66,共3页Journal of Sun Yat-Sen University:Medical Sciences

摘  要:【目的】探讨上颌骨陈旧性骨折的特点及其整复后应用微型金属钛板行坚固内固定的临床疗效。【方法】对53例上颌骨陈旧性骨折的患者进行螺旋CT检查,确定手术方案,重新截骨复位,应用微型金属钛板根据骨折的部位和形态行坚固内固定。【结果】患者的面部外观和咬合功能均有较大改善,同时未出现钛板排斥反应。【结论】结合螺旋CT三维重建技术进行检查,对上颌骨陈旧性骨折行切开截骨复位和坚固内固定能有效改善面部外观和咬合功能。[ Objective ] To explore the characteristic of old fractures in maxillary bone and clinical effect of rigid internal fixation for it with mini Ti plate. [Methods] 53 case of old fractures in maxillary bone was scanned by spiral CT. The treatment were determined by image of spiral CT scanning. Ostectomy and rigid internal fixation with mini Ti plate were applied to the patients of old fractures in maxillary bone according to part nad shape of fractures. [ Results] Facial appearance and mastication function improved substantially. No exclusive reaction was found in all 53 case. [Conclusions] According to image of spiral CT scanning,application of ostectomy and rigid internal fixation with mini Ti plate in patients with old fractures in maxillary bone can improve facial appearance and mastication function substantially.

关 键 词:上颌骨 陈旧性骨折 坚固内固定 

分 类 号:R739.85[医药卫生—肿瘤]

 

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