下颌骨粉碎性骨折的个体化治疗临床观察  

Clinical observation of the individual treatment of comminuted fractures of the mandible

作　　者：董希银[1] 魏明勇[1] 史俊[2] 

机构地区：[1]济宁医学院附属医院,山东济宁272029 [2]上海交通大学医学院附属第九人民医院,上海200011

出　　处：《济宁医学院学报》2012年第5期344-346,共3页Journal of Jining Medical University

摘　　要：目的探讨和总结下颌骨粉碎性骨折的个体化治疗方法,根据伤情制定个体化修复术式,评价手术效果。方法 35例下颌骨粉碎性骨折采用了颌间结扎、重建板坚固内固定术、双多孔下颌小型钛板内固定术、UniLocK系统内固定术,术后1月、6个月随访观察,分析其临床资料及影像学资料,评价手术效果。结果 32例下颌骨粉碎性骨折术后愈合好,下颌骨形态好,咬合关系正常;1例出现下颌骨牙槽骨坏死、1例术后术区感染、1例出现咬合不良。结论下颌骨粉碎性骨折的治疗应根据病情个体化选择固定方法,严格掌握不同固定方法的适应症,规范的手术操作及术后处理是治疗下颌骨粉碎性骨折成功的关键。Objective To explore and summarize the individual treatment of comminuted fracture of the mandible.According to injury to an individualized surgical approach was developed to evaluate the effect of surgery.Methods 35 cases of mandibular comminuted using intermaxillary ligation and reconstruction plate rigid internal fixation and mandible small titanium plate fixation and UniLock system fixation.Follow-up observation was carried out after 1 month,6 month,We analysed the clinical data and imaging data to evaluate the effect of surgery.Results 32 cases of mandibular comminuted fracture healed well postoperatively,mandible shape well and normal occlusion.One case was mandibular alveolar of necrosis,one case is infectious and one case is malocclusion.Conclusion The treatment of comminuted fracture of the mandible should choose a fixed way according to individual disease,and strictly adhere to the indications of the different fixation methods.The standardized surgical procedure and postoperative management are the key to the treatment of mandibular comminuted success.

关 键 词：下颌骨粉碎性骨折 颌间结扎术 各型坚强内固定术 治疗效果 

分 类 号：R782[医药卫生—口腔医学]