摘要
目的探讨下颌骨骨折的急诊处理方法。方法回顾性分析自2008年7月至2014年2月收治的38例急诊下颌骨骨折患者的临床资料，总结治疗方法。结果本组38例患者（74处骨折），根据具体情况，采取外科清创术、牙弓夹板固定术、钛板坚固内固定术、神经吻合术及皮瓣移植术。术后随访6—12个月，骨折复位及咬殆关系恢复良好。结论在排除手术禁忌的情况下，急诊I期手术是修复下颌骨折的最佳时机，咬殆关系的恢复是下颌骨骨折复位固定术的关键，小型及微型钛板坚固内固定术是处理复杂骨折的有效方法。
Objective To explore the therapeutic technique of emergency treatment of mandibular frac- ture. Methods A retrospective study was performed on the clinical data of 38 emergency patients with mandibular fracture received from July 2008 to 2014, and the surgical treatments were summarized. Results In accordance with specific conditions on the 38 cases （ totally 74 regions of fracture） , surgical debridement, dent- al arch splints fixation, rigid internal fixation, neuroanastomosis and flap transplantation were carried out indi- vidually. After 6 to 12 months follow-up, all cases received satisfactory outcome with good occluding relation. Conclusion Emergency primary surgery is the most optimal operation opportunity for the treatment of mandibu- lar fracture. Reconstruction of the occluding relation is one of the key factors for the treatment of mandibular fracture, and rigid internal fixation is an effective approach for dealing complicated fracture.
出处
《中国美容整形外科杂志》
CAS
2014年第4期213-215,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
下颌骨
骨折
坚固内固定
急诊外科
Mandible
Fracture
Rigid internal fixation
Emergency surgery
