颌间牵引钉行颌间牵引固定在咬合重建中的应用  

Application of intermaxillary fixation screws for intermaxillary fixation in occlusal reconstruction

作　　者：蒋蕾[1] 张来健[1] 徐伟[1] 郑义诚[1] 

机构地区：[1]徐州医学院附属连云港医院口腔科,江苏连云港222002

出　　处：《中国伤残医学》2014年第22期15-16,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的探讨利用颌间牵引钉行颌间牵引固定、重建咬合关系的优缺点及临床适应证。方法：对101例使用颌1；7牵引钉行牵引固定恢复咬合关系的骨折病例、下颌骨部分切除病例进行总结分析，从操作时间、咬合关系恢复情况、颌骨复位效果、并发症、患者痛苦程度等几方面评判其优缺点，总结其操作注意事项。结果：颌间牵引钉适用于多种类型骨折及下颌骨部分切除手术病例，操作时间短，仅局部有轻微创伤，术后患者舒适。结论：利用颌间牵引钉行颌间牵引固定、重建咬合关系是一种简单有效的方法，可在临床推广应用。Objective：To investigate the indications, advantages and disadvantages of intermaxillary fixation screws for intermaxillary fixation of mandibular fractures in occlusal reconstruction. Methods：In this study, 101 cases with fractures or partial mandibular dissection underwent intermaxillary traction and fixation with intermaxillary fixation screws. The evaluation was focused on several aspects： operating time, indications, comfortableness, and the recovery degree of occlusion and the mandibular fracture reduction. Results： Intermaxillary fixation screws were suitable for various mandibular fractures and partial mandibular dissection. The operation had advantages in short operating time,local minor trauma and comfortableness. Conclusion：Intermaxillary fixation screws should be simple, effective and applicable to clinical practice for the intermaxillary traction and fixation in occlusal reconstruction

关 键 词：颌骨骨折 部分切除 颌间牵引 牵引钉 

分 类 号：R782[医药卫生—口腔医学]