中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
18期
115-116
,共2页
微型钛板%复合性颌面骨折%内固定
微型鈦闆%複閤性頜麵骨摺%內固定
미형태판%복합성합면골절%내고정
Titanium mini-plate%Complex maxillofacial fractures%Internal fixation
目的：评价微型钛板在复合性颌面骨折中的应用效果。方法：分析研究本院收治的70例复合性颌面骨折患者，共160处骨折，根据骨折形状不同给予患者采用对应的微型钛板实施坚强内固定，骨折部位不同分别实施不同时间的颌面牵引固定治疗。结果：术后3个月观察患者的咬合关系恢复情况，优69例，良1例，创口甲级愈合率为97.1%；术后并发症3例为伤口感染，出现的后遗症为短时面瘫3例，上唇麻木4例，耳前区疼痛4例，颞颌关节弹响6例，观察治疗后颌面部骨折愈合基本良好，无钛钉脱落、排异反应发生。结论：微型钛板用于固定治疗复杂颌面骨折，解剖复位效果显著。
目的：評價微型鈦闆在複閤性頜麵骨摺中的應用效果。方法：分析研究本院收治的70例複閤性頜麵骨摺患者，共160處骨摺，根據骨摺形狀不同給予患者採用對應的微型鈦闆實施堅彊內固定，骨摺部位不同分彆實施不同時間的頜麵牽引固定治療。結果：術後3箇月觀察患者的咬閤關繫恢複情況，優69例，良1例，創口甲級愈閤率為97.1%；術後併髮癥3例為傷口感染，齣現的後遺癥為短時麵癱3例，上脣痳木4例，耳前區疼痛4例，顳頜關節彈響6例，觀察治療後頜麵部骨摺愈閤基本良好，無鈦釘脫落、排異反應髮生。結論：微型鈦闆用于固定治療複雜頜麵骨摺，解剖複位效果顯著。
목적：평개미형태판재복합성합면골절중적응용효과。방법：분석연구본원수치적70례복합성합면골절환자，공160처골절，근거골절형상불동급여환자채용대응적미형태판실시견강내고정，골절부위불동분별실시불동시간적합면견인고정치료。결과：술후3개월관찰환자적교합관계회복정황，우69례，량1례，창구갑급유합솔위97.1%；술후병발증3례위상구감염，출현적후유증위단시면탄3례，상진마목4례，이전구동통4례，섭합관절탄향6례，관찰치료후합면부골절유합기본량호，무태정탈락、배이반응발생。결론：미형태판용우고정치료복잡합면골절，해부복위효과현저。
Objective:To evaluate the clinical effect of titanium mini-plate used in the complex maxillofacial fractures. Method:70 cases of maxillofacial fractures in our hospital were analyzed.Rigid internal fixation with corresponding titanium mini-plate was given to the patients according to their different fracture shapes,the time of traction fixation for maxillofacial fractures was decided by the position of fracture.Result:After 3 months,observing the recovery condition of patients,69 cases were excellent,good in 1 case.Wound Class-A healing rate was 97.1%.3 cases occured postoperative complications of wound infection. The sequelae included 3 cases of short-term facial paralysis,4 cases of upper lip numbness,4 cases of preauricular pain and 6 cases of temporomandibular joint clicking.The situation of maxillofacial fracture healing was good after the treatment,with no titanium nails off and occurrence of rejection.Conclusion:The effect of titanium mini-plate used in the treatment of maxillofacial fracture is remarkable.
