下颌骨骨折治疗方法的临床疗效观察

Clinical Effect Observation of Methods of Mandibular Fracture Treatment

目的：研究下颌骨骨折后不同治疗方法的适应证及疗效。方法：自１９９１年起收治的２１８例下颌骨骨折的患者，对各种治疗方法、疗效进行观察研究。结果：牙槽突骨折采用颌间拴丝或牙弓夹板，髁突颈骨折采用颌间牵引固定；下颌骨骨折中有８０例采用切开复位，断端选用钛合金微型夹板或钢丝结扎固定，其余的采用颌间结扎、颌间拴丝弹性牵引辅以颅颌绷带及克氏针钻骨定位加自凝塑胶外固定等方法治疗，均取得较好效果，总成功率为９５．４％。结论：正确地选择适应证是各种治疗下颌骨骨折方法取得满意疗效的关键。

Objective: To observe and search for an adaptative and efficient treatment methods of mandibular fracture. Methods: 218 cases of mandibular fracture patients were treated with different methods from 1991, then the relationship between methods, and treatment efficiency was appraised objectively. Results: Different ways had different advantages, and the total successful rate was 94.5%. Titanium mimiplates was a promising method for mandibular fracture treatment. Conclusion: It's crucial to select a right method in the mandibular fracture treatment.