坚固内固定结合牙间固定在儿童下颌骨骨折中的临床应用  

Application of Rigid Internal Fixation Combined with Interdental Fixation in the Treatment of Mandibular Fracture of Children

作　　者：龚正林[1] 余波[1] 罗锐[1] 张瑞智[1] 

机构地区：[1]安康市中心医院,725000

出　　处：《内蒙古中医药》2011年第9期47-48,共2页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：目的:探讨坚固内固定结合牙间固定在儿童下颌骨骨折中的临床疗效及其应用价值。方法:对20例儿童下颌骨骨折进行小(微)型钛板坚固内固定结合牙间固定治疗,并对结果进行分析。结果:20例患者咬合关系和张口度均恢复正常;术后3个月X线检查见下颌骨发育正常,咬合关系正常,骨折愈合良好。患者均未并发牙龈炎、骨髓炎及下颌骨发育不良。结论:坚固内固定结合牙间固定在儿童下颌骨骨折中既能对下颌骨骨折达到良好的固定制动效果,同时又可避免损伤恒牙胚,且患儿均无颌间牵引引起的口腔卫生差及进食言语不利的痛苦,具有重要的临床应用价值。Objective ：To investigate the efficiency of rigid internal fixation combined with interdental fixation in the treatment of mandibular fracture of children.Methods： 20 patients with mandibular fracture were repositioned dislocation with small titanium plate of rigid internal fixation, then fixed interdentally after operation. Observe the complications and prognosis. Results：Followed for three months, the oceusal function, chewing function and mouth opening were ideal. The fractures healed and the growth of mandibular were normal. There was no patients complicated with gingivitis, osteomyelitis and mandibular hypolasia. Conclusion： Rigid internal fixation of multiple combined with interdental fixation mandibular fractures for the same period decrease the complications after internal fixation. This method not only fixed the fractures, but also didn＇t destroy the permanent tooth germs, and prevented the adverse effects of inter maxillary traction for the oral hygiene of chewing function of the patients. With more acceptable, it is a significant effect method, and should be promoted .

关 键 词：内固定 牙间固定 儿童 下颌骨骨折 

分 类 号：R782[医药卫生—口腔医学]