面中部骨折手术治疗及坚固内固定技术的应用  

Surgical Reduction and Rigid Internal Fixation of Midface Fractures

作　　者：田卫东[1] 李声伟[1] 潘剑[1] 高振南[1] 郑晓辉[1] 

机构地区：[1]华西医科大学口腔医学院

出　　处：《华西口腔医学杂志》1999年第2期136-139,共4页West China Journal of Stomatology

摘　　要：目的：探讨面中部骨折的原因、临床特点及治疗方式的选择。方法：回顾性分析经过治疗的９８例面中部骨折病例，对其发病原因、临床表现、诊断、治疗时机及方法进行探讨。着重讨论了手术切开复位与坚固内固定技术的应用基础、临床效果及注意事项。结果：本组病例共９８例，男性占７８．６％，好发于２１～４０岁年龄段。伤因，车祸伤占３２．６％，工伤事故的打击伤占２４．５％，跌伤占１７．３％。骨折以上颌骨为主的联合骨折为最多（７２．４５％）。行骨折Ⅰ期处理的４５例及陈旧性骨折错位愈合Ⅱ期处理的４２例均采用手术切开复位及坚固内固定技术，获得了满意的临床效果。结论：手术切开复位及坚固内固定技术的联合应用是治疗面中部骨折，尤其是复杂骨折及陈旧性骨折错位愈合的理想方法。Objective:To determine the cause, clinical characteristics and treatment of midface fractures.Methods: A retrospective review of 98 patient records was conducted.Data regarding age, cause of fracture, anatomic site, treatment modalities and clinical results were reviewed.Results: Of the 98 patients, 78.6% were male, with the peak incidence occuring in the age group from 21 to 40 years old. Of the fractures, 32.6% were due to traffic accidents, 24.5% to assaults, and 17.3% to accidental falls. Most patients (87.8%) were treated by open reduction surgery and rigid internal fixation. Only 12.2% of patients were treated by colsed reduction fixation. Almost all of the patients regained normal face appearance and functional occlusion.Conclusion:Surgical reduction and rigid internal fixation of midface fractures is a satisfactory method of treatment.

关 键 词：面中部骨折 坚固内固定 骨折固定术 

分 类 号：R782.405[医药卫生—口腔医学]