可吸收接骨板应用于颧骨复合体骨折固定的临床回顾研究  

Clinical retrospective study of resorbable plates in the fixation of zygomatic complex fractures

作　　者：李智 吕坤 杨荣涛 周海华 程谷 何三纲 李祖兵 LI Zhi;LYU Kun;YANG Rong-tao;ZHOU Hai-hua;CHENG Gu;HE San-gang;LI Zu-bing(Department of Oral Maxillcfacial Trauma and Temporomandibular Joint Surgery,Hospital of Stomatology,Wuhan University\The State Key Laboratory Breeding Base of Basic Science of Stomatology(Hubei-MOST)&Key Laboratory of Oral Biomedicine Ministry of Education,School&Hospital of Stomatology,Wuhan University,Wuhan 430079 y China)

机构地区：[1]武汉大学口腔医院口腔颌面创伤与颞下颌关节外科口腔基础医学省部共建国家重点实验室培育基地和口腔生物医学教育部重点实验室武汉大学口腔医学院

出　　处：《中国实用口腔科杂志》2019年第6期328-331,共4页Chinese Journal of Practical Stomatology

基　　金：湖北省卫计委科研项目(WJ2017M047)

摘　　要：目的回顾总结近年来我院应用可吸收接骨板钉固定颧骨复合体骨折的手术方法和治疗经验,以供临床参考。方法对2011年6月至2018年6月期间我院应用可吸收接骨板钉固定的724例颧骨复合体骨折患者资料进行回顾性研究,总结其治疗方法,并对随访时间超过3个月的患者分析其治疗效果和并发症。结果共有671例患者随访时间超过3个月,其中96.5%的患者均获得满意疗效。724例病例中不良并发症发生率为2.76%,主要包括感染、骨折段移位、接骨板外露等。结论绝大多数颧骨复合体骨折适宜采用可吸收接骨板固定,适应证的选择和固定的稳定性是可吸收接骨板钉成功应用于颧骨复合体骨折固定的关键。Objective To summarize the surgical methods and treatment experience in the application of resorbable plates for the fixation of zygomatic complex fractures in our hospital in recent years,in order to provide reference for the clinical treatment. Methods A retrospective study was performed on 724 patients with zygomatic complex fractures using resorbable plates fixation in our hospital from June 2011 to June 2018,and the treatment methods were summarized.The data of patients who were followed up for more than three months were collected to evaluate the therapeutic effects and complications. Results A total of 671 patients were followed up for more than three months,and 96.5% of them achieved satisfactory results. The incidence of adverse complications in 724 cases was 2.76%,mainly including infection,displacement of the fracture segments,and exposure of the plate. Conclusion Most zygomatic complex fractures are suitable for fixation with resorbable plates. The choice of indication and the stability of fixation are the key to the successful application of resorbable plates in the fixation of zygomatic complex fractures.

关 键 词：可吸收接骨板 颧骨复合体骨折 固定 适应证 

分 类 号：R78[医药卫生—口腔医学]