21例严重颅面复合伤的诊断与治疗  

Diagnosis and treatment of sever craniofacial compound injure

作　　者：刘海生[1] 赵丛海[2] 朱冬冬[1] 徐洪君[1] 杨占泉[1] 

机构地区：[1]吉林大学中日联谊医院耳鼻咽喉头颈外科,长春130031 [2]吉林大学中日联谊医院神经外科

出　　处：《临床耳鼻咽喉科杂志》2002年第3期106-108,共3页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :探讨严重颅面复合伤的诊断与治疗方法。方法 :严重颅面复合伤 2 1例 ,经面部开放性创口行骨折复位固定 9例 ,面中部掀翻术进路复位固定 4例 ,颅面联合切口骨折复位固定 4例 ,多切口骨膜下隧道贯通暴露法复位固定 4例。行关闭颌间结扎固定治疗 12例 ,采用开放坚强内固定技术治疗 9例。结果 :随访 16例 ,咀嚼功能均恢复。结论 :颅面复合伤是一种复杂急症 ,要求医生掌握全面的骨折分类法及综合诊断能力 。Objective:It is purpose to analysis the diagnosis and treatment of sever craniofacial compound injure. Method:The surgical method of reposition of bone fracture of 21 cases with sever craniofacial compound injure included transfacial wound (9 cases) and transmidfacial approach(4 cases) and craniofacial approach(4 cases) and multi incision subperiosteum tunnel approach(4 cases).Result:In 16 cases which been followed,the function of chew has been recovered.Conclusion:Sever craniofacial compound injures is a complicate emergention. Doctor must master comprehensive classified method of fracture and ability of diagnosis and attach importance to surgical reposition and technique of rigid internal fixation.

关 键 词：颅面复合伤 骨折内固定术 手术复位 诊断 

分 类 号：R651.1[医药卫生—外科学]