摘要
目的:观察下颌骨骨折治疗中加压内固定和非加压内固定的疗效差异,对两种固定形式的临床应用作出评价。方法:下颌骨骨折57例分成两组,分别采用加压内固定和非加压内固定进行治疗,对比研究两组病例术后愈合情况,功能恢复,X片检查结果等差异。结果:两组病例术后骨折愈合情况良好;共有7例术后有咬合干扰,调磨后恢复正常;2例术后感染;术后8周X片显示加压内固定组骨折愈合改建基本完成,优于非加压内固定组。结论:加压内固定和非加压内固定都完全能达到AO关于内固定的要求,均是下颌骨骨折良好的固定方式,加压内固定技术要求高,但固定理想,骨折愈合更快,临床应用表明加压内固定的骨折愈合早期具有明显的优势。
Objective： To observe mandibular fracture treatment pressurized and non-pressurized fixed within a fixed period of efficacy and two of the clinical evaluation of a fixed form. Methods： 57 patients with mandibular fractures were divided into two groups, namely non-pressurized and pressurized internal fixation for the treatment of internal fixation. Comparative study of two groups of patients after healing, recovery, X-ray findings and others. Results： The two groups of patients who fracture was healed well; There were seven cases postoperative occlusal interference, regulation and resume normal grinding and two cases of postoperative infection; Pressure within eight weeks after X-rays revealed healing fracture fixation into basically completed, was better than the non-pressurized internal fixation. Conclusion： The pressurized and non-pressurized fixed within a fixed period of AO were fully able to meet the requirements of internal fixation. Might be a good mandibular fracture fixation, internal fixation compression technology, but fixed ideals, fracture healing faster. Clinical application had shown pressure early fixation of fracture healing is an obvious advantage.
出处
《中国伤残医学》
2007年第5期21-23,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
坚固内固定
下颌骨骨折
加压内固定
Rigid internal fixation
Mandibular fracture
Internal fixation Pressure
