钛板在老年人颌骨骨折治疗中的临床观察  

Clinical observation of Titanium plate Osteosynthesis in Maxillofacial Fracture of old people

作　　者：孙兰池[1] 

机构地区：[1]大同市第三人民医院口腔科,主任副主任医师山西037008

出　　处：《中华老年口腔医学杂志》2009年第4期224-226,共3页Chinese Journal of Geriatric Dentistry

摘　　要：目的:观察钛板在老年人颌骨骨折的治疗效果,以期指导临床。方法:选择72例老年颌骨骨折患者,根据口腔余留牙的多少分为实验组与对照组,实验组(牙列缺损严重,单颌余留牙<7个)只采用微(小)型钛板固定骨折,对照组(单颌余留牙≥7个)钛板固定后再加上单颌结扎与颌间牵引。手术入路多数采用隐蔽部位(口内及发际内),必要时附加眶下缘切口或采用耳前及颌下切口。结果:72例老年颌骨骨折患者中,实验组成功39例,对照组成功28例,两组比较无显著性差异(P>0.05),所有患者均复位满意。结论:微(小)型钛板治疗老年人颌骨骨折是有效的方法,术后面颌畸形得以改善,咬合功能恢复。Objective： To evaluate the clinical effectiveness of titanium plate osteosynthesis in maxillofacial fractures of the old people. Methods： To divide 72 maxillofacial fractures of the old people into the experimental group （the number of teeth was less than 7 in the single jaw） that were treated with titanium microplate or miniplate osteosynthesis and the control group （the number of teeth was more than 7 in the single jaw） that were treated with titanium microplate or miniplate osteosynthesis and ligation of single jaw and intermaxillary disstraction. Shelter locations were choosen as operative approach, such as vestibular groove and hairline, Adding sometimes by infraorbital border, preauricula or submandibular approach. Results： 39 cases were healed in the experimental group, 28 cases were healed in the control group. There were not significant difference （P〉0.05）. The effect of reposition were satisfactory in all cases. Conclusion： It is a effective method by titanium plate osteosynthesis to cure maxillofacial fractures of the old people. It would reduce facial malformation and regain normal occlusion after operations.

关 键 词：钛板 颌骨骨折 坚固内固定 老年人 

分 类 号：R782.4[医药卫生—口腔医学]