摘要
目的探讨采用牵引钛钉行颌间牵引固定治疗下颌骨骨折后并发症发生的原因，并提出相应的防治措施。方法126例采用牵引钛钉配合微型钛板内固定行颌间牵引固定治疗的下颌骨骨折患者，对其术后1～30d进行观察，统计并发症的发生情况，总结、分析其发生的原因，提出防治措施。结果126例患者中，有12例出现并发症，并发症的发生率为9．52％（12／126）。其中，牵引钛钉松动4例、咬合关系不良2例、牵引钛钉脱落1例、牵引钛钉周围感染1例、牵引钛钉植入时穿透上颌窦1例、牙根尖周组织损伤1例、神经损伤1例、口腔黏膜溃疡1例。结论应用牵引钛钉行颌间牵引固定具有操作简便、安全、卫生等优点，是近几年颌间结扎固定的新方法，但其术后的并发症也不容忽视，术者要严格掌握适应证，规范手术操作规程，尽量避免并发症的发生。
Objective To evaluate the reason of the complications after treating by the intermaxillary traction with the titanium screw and put forward the measures of prevention these complications in mandibular fractures. Methods One hundred and twenty-six cases with mandibular underwent intermaxillary traction and fixation with tapping titanium screw were observed and counted for their complications in 1-30 days after finishing the operation. Summarized and analyzed the reasons of the complications. Results The rate of complications was 9.52%（12/126）, 4 cases of titanium screw loosen, 2 cases of bad occlusion,1 case of titanium screw fallen off, 1 case of titanium screw around infected, 1 case of root tip damage, 1 case of titanium screw maxillary penetrated into the sinus, 1 case of nerve injury, 1 case of dental ulcer. Conclusion The intermaxillary traction with the titanium screw is simple, safety and healthy method, but the postoperative complications also don＇t allow to ignore, surgeons should be controlled strictly, standardized operation, try to avoid complications.
出处
《中国医师进修杂志》
2011年第30期16-18,共3页
Chinese Journal of Postgraduates of Medicine
关键词
下颌骨折
并发症
牵引钛钉
颌间牵引
Mandibular fractures
Complications
Titanium screw
Intermaxillary traction
