现代临床医学
現代臨床醫學
현대림상의학
JOURNAL OF MODERN CLINICAL MEDICINE
2015年
3期
218-219
,共2页
粘结技术%颌骨骨折%牵引%固定
粘結技術%頜骨骨摺%牽引%固定
점결기술%합골골절%견인%고정
bonding technology%mandible fracture%traction%fixed
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。
目的::探討粘結技術應用于頜骨骨摺患者的牽引、固定治療中的治療效果。方法:36例頜骨骨摺病例,待確定骨摺類型、移位程度後預製牙弓夾闆或粘接託槽。跼痳下手法複位併儘可能將骨斷耑對位,一般以牙列及可咬關繫為準。即刻粘接牙弓夾闆或于粘接託槽內嵌入弓絲固定骨摺斷耑,在錯位明顯且移位張力較大時可增加舌側牙弓夾闆增彊固位力。結果:所有病例均Ⅰ期愈閤,無感染,咬關繫基本正常,無張閉口功能障礙。隨訪6箇月至3年,未見有確切髮育受限和繼髮畸形髮生。結論:粘結技術治療單純性骨摺操作簡便、快捷和可重複,直接粘結預製弓槓、夾闆、託槽;骨斷耑具有良好的固位力。
목적::탐토점결기술응용우합골골절환자적견인、고정치료중적치료효과。방법:36례합골골절병례,대학정골절류형、이위정도후예제아궁협판혹점접탁조。국마하수법복위병진가능장골단단대위,일반이아렬급가교관계위준。즉각점접아궁협판혹우점접탁조내감입궁사고정골절단단,재착위명현차이위장력교대시가증가설측아궁협판증강고위력。결과:소유병례균Ⅰ기유합,무감염,교관계기본정상,무장폐구공능장애。수방6개월지3년,미견유학절발육수한화계발기형발생。결론:점결기술치료단순성골절조작간편、쾌첩화가중복,직접점결예제궁강、협판、탁조;골단단구유량호적고위력。
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.