下颌骨折_____下颌骨折；创伤；骨折固定术，内

小型钛板行下颌骨骨折坚固内固定术的临床分析

http://www.100md.com 《中华现代外科学杂志》 2006年第4期

下颌骨折,,下颌骨折；创伤；骨折固定术，内,1资料与方法,2结果,3讨论,【参考文献】

     【摘要】目的分析下颌骨骨折小型钛板坚固内固定的临床效果，探讨其优点及其不足。方法 182例患者共235处下颌骨骨折行小型钛板坚固内固定。复位技术及小型钛板的固定位置均参考Champy方法。结果 179例患者术后伤口均无感染，3例局部有瘘管形成，其余均Ⅰ期愈合。176例恢复到术前咬牙合关系，仅6例出现局部咬牙合关系不良。术后张口度>37mm者168例。X线复查未见骨愈合不良或假关节形成。结论下颌骨骨折的小型钛板坚固内固定效果可靠，避免了颌间结扎；对颞下颌关节功能影响小；口内手术进路避免了面部皮肤瘢痕。较传统的下颌骨骨折颌间结扎固定及钢丝栓扎固定有明显的优点。

    【关键词】下颌骨折；创伤；骨折固定术，内

    Clinical analysis of miniplate osteosynthesis of mandibular fracture

    ZOU Ronghai,YAN Guoxin,SUN Xiaofeng.

    The Second Peoples Hospital,Wuxi 214002,China

    【Abstract】 Objective To evaluate the reliability and effectiveness of miniplate osteosynthesis in mandibular fractures.Methods 235 mandibular fractures in 182 cases treated with titanium miniplate osteosynthesis according to the method of Champy.Results No infection was found in 179 cases,while fisula was found in 3 cases.176 cases had satisfied occlusion,6 cases had unfavourable local malocclusion.The month opening of 168 cases were over 37mm.No delayed union and fake joint was found in Xray images postoperatively.Conclusion The miniplate osteosynthesis has the advantages over conventional intermaxillary fixation and wire fixation. ......

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