颌面部骨折的治疗分析

A Therapeutic Retrospective Analysis of Maxillofacial Fracture

本文对182例颌面部骨折病例的治疗进行了回顾性分析。本组病例中,下颌骨骨折最多116例（63.7％）。其次是上颌骨和颧骨。采用颌间牵引复位固定66例（36.3％）,手术复位骨间固定35例（19.2％）,手法复位单颌结扎固定状例（15.4％）,17％的骨折病例用两种或两种以上的复位固定。骨折的治愈率97.25％,骨折线上受累牙齿的保存率93.8％,感染率1.6％.结果表明保留骨折线上的牙齿有利于骨折的复位和固定。颌间牵引定位固定是治疗颌骨骨折的主要方法,具有其它治疗方法难以替代的优点。

This paper is doing a retrospective analysis 182 cases on facial fracture.Among the cases, 116 eases(63. 7%) is mandibular fracture, anotber is maxillar and zygomatic fracture. 66(ases' euring method is intermaxillary elastic reduction and fixation: 35 cases is open reduction and interosseous wire fixation; and 28 cases is closed reduction and mono-maxillary fixation. About 17% cases is taken by two or more methods. Finally. the cure rate of fracturo of all is 97. 25%, and teethe in the fracture line is keep in on 93. 8% rate. only 1. 6% cases is infected. As the result shows it is useful for the reductine and fixation of the fracture that keeping in the teeth in the fracture line. And it is the main method that is intermaxillary olastic reduction and fixation on curing facial fracture.It is not be able to be placed by another methods.