粘结技术在颌骨骨折牵引和固定中的应用  

Application of Bonding Technology in the Treatment of Mandible Fractures

作　　者：马小红 尹明平[2] 

机构地区：[1]成都市妇女儿童中心医院口腔科,四川成都610017 [2]四川省人民医院口腔颌面外科,四川成都610072

出　　处：《现代临床医学》2015年第3期218-219,共2页Journal of Modern Clinical Medicine

摘　　要：目的:探讨粘结技术应用于颌骨骨折患者的牵引、固定治疗中的治疗效果。方法:36例颌骨骨折病例,待确定骨折类型、移位程度后预制牙弓夹板或粘接托槽。局麻下手法复位并尽可能将骨断端对位,一般以牙列及可咬关系为准。即刻粘接牙弓夹板或于粘接托槽内嵌入弓丝固定骨折断端,在错位明显且移位张力较大时可增加舌侧牙弓夹板增强固位力。结果:所有病例均Ⅰ期愈合,无感染,咬关系基本正常,无张闭口功能障碍。随访6个月至3年,未见有确切发育受限和继发畸形发生。结论:粘结技术治疗单纯性骨折操作简便、快捷和可重复,直接粘结预制弓杠、夹板、托槽;骨断端具有良好的固位力。Objective： To investigate the clinical effectiveness of bonding technology in treatment of patients with mandibular fractures. Methods： Prefabricated splint or arch bracket bonding depended on fracture type,degree of displacement in 36 cases of mandible fracture. Manual reseted the bone ends under local anesthesia,as far as possible on the placeof dentition and occlusion. Instantly there wasthe adhesion of the splint or embedded the bonding wire in dental bracket for the fracture ends fixed,and could increase tension of lingual arch splint in obvious dislocation and its tension force larger. Results： All patients were in stage Ⅰ healing with normal occlusion,no infection,no dysfunction. Followed- up for 6 months to 3 year,no exact growth restriction and malformation. Conclusion： The bonding technology is simple,fast and repeatability in treatment of simple fractures,and directly bonding prefabricated arch bars,splints,brackets may have good tention fixed for bone ends.

关 键 词：粘结技术 颌骨骨折 牵引 固定 

分 类 号：R782.4[医药卫生—口腔医学]