39例上、下颌骨骨折的临床分析  

Maxillary and/or mandible fractures: Retrospective clinical analysis of 39 cases

作　　者：肖平[1] 杨震[2] 曹罡[2] 尹英[2] 寿柏泉[2] 

机构地区：[1]南京军区南京总医院汤山疗养区口腔科,江苏南京210002 [2]南京军区南京总医院口腔科,江苏南京210002

出　　处：《医学研究生学报》2009年第9期956-958,共3页Journal of Medical Postgraduates

基　　金：全军"十一五"医药卫生科研专项项目(批准号:06Z017)

摘　　要：目的:上、下颌骨骨折是颌间部严重的损伤,常伴有其他重要生命器官损伤,治疗困难。探讨上、下颌骨骨折的治疗方法。方法:对39例上、下颌骨骨折患者的临床资料进行回顾性研究。结果:39例患者中,男34例,女5例,87.17%为交通事故伤,多发伤、合并伤占94.87%,术后咬合关系恢复良好和基本恢复者占78.95%,面形恢复良好和改善者占68.00%。结论:疗效与骨折损伤类型、程度、治疗时机和规范治疗有关。术前CT平扫+三维重建,可全面了解骨折情况,分析面形、咬合改变的原因和程度,在规范治疗前提下,采用手术解剖复位、颌间牵引复位加钛板内固定是目前常用的最佳治疗方法。Objective： Maxillary and mandible fractures are severe intermaxillary injuries, frequently involving other vital organs, and usually difficult to be treated. This study discusses the treatment of maxillary and mandible fractures. Methods ： We retrospectively analyzed the clinical data of 39 cases of maxillary fractures and/or mandible fractures. Results ： Of the 39 cases, 34 males, 5 females and 84.64% aged from 20 to 50, 87.17% were caused by vehicle accidents, and 94.87% were accompanied by injuries of other parts of the body. After surgical treatment, 78.95% gained normal or basically normal ocular esthetic results and 68% achieved good or improved facial esthetic results. Conclusion： The results of treatment are closely related with the type and severity of fracture and the time and plan of treatment. Preoperative CT scanning and facial profile three-dimensional reconstruction are necessitated for a thorough evaluation of the fractures and an analysis of the causes and extent of facial and ocular changes. The best treatment plan for maxillary and/or mandible fractures would include anatomic reduction by surgery, intermaxillarv elastic traction and rigid internal fixation with the Ti plate.

关 键 词：上颌骨骨折 下颌骨骨折 治疗 

分 类 号：R782.4[医药卫生—口腔医学]