微型钛板在内固定治疗下颌骨粉碎性骨折中的应用:21例临床分析  

Internal fixation of mandibular comminuted fracture with mini-titanium plate:a retrospective study of 21 cases

作　　者：陈伟[1] 房睿[1] CHEN Wei;FANG Rui(Department of Oral and Maxillofacial Surgery,Stomatology Hospital of Shenyang.Shenyang 110001,Liaoning Province,China)

机构地区：[1]沈阳市口腔医院口腔颌面外科,辽宁沈阳110001

出　　处：《上海口腔医学》2020年第3期333-336,共4页Shanghai Journal of Stomatology

基　　金：辽宁省自然科学基金(2013020163)。

摘　　要：目的:研究微型钛板内固定术在治疗下颌骨粉碎性骨折中的应用价值.方法:选择2017年3月-2018年2月沈阳市口腔医院收治的下颌骨粉碎性骨折患者21例.所有患者均给予微型钛板坚固内固定,分别在患者下颌骨下缘、上缘、外皮质中部进行固定.观察术后骨折愈合情况及不良反应发生情况.结果:术后3个月内,所有患者均达到骨性愈合,平均时长为(1.53±0.36)个月.21例患者中,6例(28.57%)出现轻微咬合不正,1例(4.76%)发生局部感染,未出现微型钛板断裂、持续疼痛、开口受限、牙损伤、面神经损伤及骨不连患者.结论:微型钛板内固定术适用于无骨缺损的下颌骨粉碎性骨折患者,具有术后骨折愈合良好、时间短、不良反应少的优点.PURPOSE:To investigate the value of internal fixation in management of mandibular comminuted fracture with mini-titanium plate.METHODS:Twenty-one patients with mandibular comminuted fracture treated in Stomatology Hospital of Shenyang from March 2017 to February 2018 were enrolled,the patients received internal fixation with minititanium plate.The lower mandibular margin,upper mandibular margin and middle outer cortex were fixed respectively.The postoperative fracture healing and adverse reactions were recorded and analyzed.RESULTS:All patients achieved bone healing within 3 months after surgery,with an average duration of(1.53±0.36)months.Among 21 patients,six patients(28.57%)had minimal occlusion,and 1 patient(4.76%)had local infection.No microtitanium plate fracture,persistent pain,limited mouth opening,tooth injury,facial nerve injury or nonunion were found.CONCLUSIONS:Internal fixation with mini-titanium for comminuted mandibular fracture patients without bone defects has the advantages of good postoperative fracture healing,short healing time and few adverse reactions.

关 键 词：微型钛板 内固定术 下颌骨粉碎性骨折 

分 类 号：R782.4[医药卫生—口腔医学]