摘要
目的探讨颌面部多处骨折的致伤因素,治疗方法和疗效。方法收治487例颌面部多处骨折患者,根据临床症状和各种辅助检查结果,采取不同的治疗方法,半年后观察患者的治疗疗效。结果术后半年随访,保守治疗组有2例双髁状突骨折张口度只能达到Ⅱ度。切开复位内固定组有1例患者的面形、张口度及咬合关系恢复均不满意且遗留硬腭部瘘道,另1例下颌骨多处骨折患侧下前牙开合约0.5cm。两组其余患者不论从面形、咬合关系、张口度及视物效果方面均能达到满意效果。治愈率达99.18%。结论保守治疗和切开复位内固定治疗颌面部多处骨折各有优点,需根据不同部位、不同程度、不同年龄或者是不同经济状况选择不同的治疗方法,有时需两种治疗方法同时应用。治疗时间越早,效果越满意。
Objective To explore the wounding factors of multiple maxillaris and facial fractures, the therapy methods and curative effects. Methods Treat 487 patients with multiple maxillaris and facial fractures; according to clinlcal symptoms and the results of various assistant examinations, adopt different therapy methods and then after half a year observe the curative effects. Results Make follow - up visits half a year after the operations,expectant treatment group： Theopen degree just reached Degree Ⅱ in two cases of fracture of bicondylar process. Orif （open reduction and internal fixation） group： One case got unsatisfactory recovery in the aspects of facial contour, open degree and occluding relation, and got a hangover of fistulous tract of hard palate; in another case, the knuckle of the lower front teeth on the side of the multiple mandibular bone fractures was about 0.5cm. other cases all got satisfactory results in the aspects of facial contour, occluding relation, open degree and vision effect. The curative ratio reached 99.18%. Conclusion Both expectant treatment and orif treatment of multiple maxillaris and facial fractures have their own advantages. Different treatments should be chosen according to different parts, degrees, ages or economic situations; sometimes these two methods should be used at the same time. The earlier the treatment is done, the more satisfactory the result is.
出处
《菏泽医学专科学校学报》
2009年第3期8-10,共3页
Journal of Heze Medical College
关键词
颌面部多处骨折/治疗
颌间牵引
切开复位钛板内固定
颅颌牵引
multiple maxillaris and facial fractures/therapy
intermaxillary traction
open reduction and internal fixation with titanium plate
craniomaxillary traction
