论文部分内容阅读
目的:总结2000年以来口腔颌面部骨折病例诊治的临床体会。方法:对102例口腔颌面部骨折病例进行回顾性分析,包括年龄、性别、致伤原因、损伤部位、损伤类型、治疗方法等。结果:102例中下颌骨骨折72例(70.5%),上颌骨骨折8例(8%),颧骨骨折22例(21.5%)。交通事故伤69例(68%),其中机动车致伤51例(50%),非机动车致伤18例(18%);他伤16例(15%);意外伤17例(17%)。15例单纯采用非手术牵引钛钉颌间牵引治疗,74例采用手术切开复位钛板钛钉内固定治疗,13例为钛钉颌间牵引下切开复位内固定治疗。结论:颌面部骨折多因交通事故所致,且多发于下颌骨。钛钉颌面牵引内固定术是一种良好的治疗颌骨骨折的方法。
Objective: To summarize the clinical experience of diagnosis and treatment of oral and maxillofacial fractures since 2000. Methods: A total of 102 cases of oral and maxillofacial fractures were retrospectively analyzed, including age, sex, cause of injury, site of injury, type of injury, treatment and so on. Results: 102 cases (70.5%) had mandibular fractures, 8 cases (8%) had maxillary fractures, and 22 cases (21.5%) had zygomatic fractures. There were 69 cases (68%) of traffic accidents, of which 51 cases were motor vehicle injuries (50%), 18 cases were non-motor vehicle injuries (18%), 16 cases were injured (15%) and 17 cases (17% ). Totally 15 cases were treated with non-surgical traction titanium and intermaxillary traction, 74 cases were treated with open reduction and titanium plate fixation with titanium screws, and 13 cases were treated with open reduction and internal fixation with titanium nail and intermaxillary traction. Conclusion: Maxillofacial fractures are mostly caused by traffic accidents and occur frequently in the mandible. Titanium nail maxillofacial traction and internal fixation is a good method of treatment of jaw fracture.