摘要
目的探讨颧骨复合体(ZCF)手术复位的径路与固定部位的选择。方法回顾性总结分析56例ZCF患者的切口选择,接骨板固定部位,术后随访1～6个月,按疗效评价标准评价手术效果。其中包括面容和功能的恢复、创口愈合、X线和CT随访以及围手术期并发症。结果软组织手术切口均Ⅰ期愈合。其中愈合优秀51例,达91.07%(51/56);骨折错位愈合等愈合不良病例2例;居于两者之间的良级有3例。围手术期并发症4例,分别为接骨板外露和异物排异各2例。经对症处理后均愈合。结论应用上颌前庭切口和局部小切口径路的方法将逐步取代早期的冠状切口和上颌前庭切口,应用颧牙槽嵴、颧额缝和眶下缘三点稳定型坚固内固定可防止轴向旋转而导致再错位的发生。
Objective To explore the effect of soft tissue incision and the selection of the intemal fixation on the treatment of zygo- matic complex fracture. Methods 56 cases with zygomatic complex fracture were retrospectively analyzed about the choice of the incision, the fixation location of connected board. The patients were followed up for 1 - 6 months and the outcomes were evaluated based on the statistic theory and standards of evaluation including face and function recovery, wound healing and follow-up on X-ray and CT and complications during perioperative period. Rusuits Operative incision of soft tissues was primaryly healed. Clinical and radiologic as- sessment of reduction was symmetric and stable in 91.07% （51/56） of all cases, but little insuficiency of the bone fracture was present in 2 cases, and 3 cases between the two conditions. After operation,complications occurred to 4 cases,which were the connected with board exposure （ 2 cases） and the foreign matter rejection （ 2 cases）. Conclusions The treatment of upper jaw vestibule incision and local little incision will take the place of the early coronal incision and upper jaw vestibule incision. Making use of the rigid internal three-point stem fixation at cheek alveolar ridge, sutura zygomaticofrontalis and infraorbital rim can avoid dislocation because of axial rotation.
出处
《口腔医学》
CAS
2011年第12期735-737,共3页
Stomatology
关键词
颧骨复合体骨折
三点固定
临床
zygomatic complex fracture three-point stem fixation clinical
作者简介
叶茂昌Tel：（0551）2283374E-mail：ye—maochang@yahoo．com．cn
