49例下颌骨粉碎性骨折临床回顾分析  

Retrospective study of 49 comminuted mandibular fractures

作　　者：刘淑莉 徐兵[1] 史俊[1] LIU Shu-li;XU Bing;SHI Jun(Department of Oral and Craniomaxillofacial Surgery,Shanghai Ninth People＇s Hospital,College of Stomatology,Shanghai Jiao Tong University School of Medicin;National Clinical Research Center for Oral Disease;Shanghai Key Laboratory of Stomatology ＆ Shanghai Research Institute of Stomatology.Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院·口腔医学院口腔颅颌面科,国家口腔疾病临床研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海200011

出　　处：《中国口腔颌面外科杂志》2018年第5期452-455,共4页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的:探讨下颌骨粉碎性骨折的治疗方法。方法:回顾总结49例下颌骨粉碎性骨折患者的临床信息、治疗方法及随访结果。结果:49例患者中,男33例,女16例;31%为交通事故伤,术后10例发生感染,1例咬合紊乱,1例关节强直,1例骨不连,并发症率为26.5%。结论:下颌骨粉碎性骨折可采用多种方法治疗,但仍有较高的感染率,治疗效果不甚理想。PURPOSE：To summarize the treatment of comminuted mandibular fractures. METHODS： The records of49 patients with comminuted mandibular fractures were analyzed for treatment and outcomes. RESULTS： Among 49 patients, 33 were male, 16 were female; 31% were traffic accident injury, 10 had postoperative infection, 1 had malocclusion, 1 had temporo-mandibular joint ankylosis, 1 had nonunion, the complication rate was 26.5%.CONCLUSIONS： There are several approaches to manage comminuted mandibular fracture, however, the infection rate was still high and the therapeutic effect is not good.

关 键 词：下颌骨粉碎性骨折 坚固内固定 重建板 钛网 

分 类 号：R782[医药卫生—口腔医学]