经皮微创坚强内固定治疗颧骨骨折的疗效观察

Clinical study of internal rigid fixation of zygomatic fracture through percutaneous minimally invasive approach

目的:探讨经皮微创坚强内固定在颧骨骨折中的效果。方法:对2003—2009年收治的342例颧骨骨折患者,采用Zingg分类法分成3类。根据分类特点,采用相应的经皮微创切开复位坚强内固定,通过术后CT及面形改变程度来判定治疗效果。结果:342例患者中,19例发生感染,其余伤口均一期愈合。所有患者术后面形对称,CT见骨折断端对位良好,面部微创切口瘢痕极其轻微,不影响美观。结论:采用经皮微创坚强内固定治疗颧骨骨折具有创伤小、面部瘢痕轻微、术后并发症少等优点,是一种较理想的颧骨骨折治疗方法。

PURPOSE：To evaluate the efficacy of internal rigid fixation of zygomatic fracture through percutaneous minimally invasive approach. METHODS：Three hundred and forty-two cases of zygomatic fractures were selected from June 2003 to 2009,using Zingg classification,all cases were divided into three groups and were treated by internal rigid fixation through percutaneous minimally invasive access. RESULTS：Nineteen patients had infection,the other patients had primary healing. All patients got symmetrical facial contour,the fractured bone segments integrated well on computed tomograph scan,the facial scars were minimal. CONCLUSION：Percutaneous minimally invasive access for internal rigid fixation of zygomatic fracture produces minimal injury,inconspicuous facial scars,fewer complications,and is an ideal way for management of zygomatic fracture.