[摘要]目的：探讨颧弓根内固定在上颌骨、颧骨颧弓骨折三维重建中的美学功能。方法：回顾性分析2020年3月-2023年3月笔者医院收治的眶颧颌骨折患者84例，所有患者术前均经CT证实为单侧眶颧颌骨折，均经颧弓根固定复位，所有患者术前术后经CT扫描与三维重建。评价术后半年疗效、眶区对称度和患者满意度。结果：所有患者均于术后7 d内复查，骨折均已愈合，复位效果满意。术中均未出现严重并发症，术后亦均未出现并发症。术后半年疗效分级Ⅰ级84例，Ⅱ级、Ⅲ级均为0例；术前与术后7 d眶区对称度比较差异有统计学意义(P<0.05)；患者疗效和外观恢复满意度分别为(9.22±0.17)分、(9.09±0.12)分，患者对疗效和术后外观恢复均表示很满意。结论：颧弓根固定用于眶颧颌骨折修复，术中精准复位，提高了手术治疗效果，有效改善了患者眶区对称度，患者满意度高，是一种可行性较高的手术治疗方法。

    [关键词]颧弓根固定；眶颧颌骨折；三维重建；美学功能；评价

    [中图分类号]R782.4" " [文献标志码]A" " [文章编号]1008-6455(2024)11-0074-03

    Evaluation of Aesthetic Function of Internal Fixation of Zygomatic Arch Roots in 3D Reconstruction of Maxilla and Zygomatic Arch Fractures

    LIU Feng， HUANG Weidong， WANG Jing， SU Sha， YIN Yaotian， GAN Mi， LIAO Xianxiang

    ( Department of Stomatology， Xiaogan Hospital， Wuhan University of Science and Technology， Xiaogan 432000， Hubei， China )

    Abstract： Objective" To investigate the aesthetic function of arch fixation in 3D reconstruction of maxilla and zygomatic arch. Methods" A retrospective analysis of 84 patients with orbital zygommalandibular fracture admitted in our hospital from March 2020 to March 2023. All patients were confirmed by CT as unilateral orbital zygommalathic fracture before surgery ......