Foley加压水囊在上颌骨粉碎性骨折中的应用

Clinical observation of Foley pressurized bladders in treating 32 cases of maxillary comminuted fractures

目的:探讨Foley加压水囊在上颌骨粉碎性骨折手术中的应用,分析其临床优势。方法:对32例上颌骨粉碎性骨折患者采取口内前庭切口或半冠状切口,复位眶骨下缘、上颌骨额突、颧突,行微型钛板坚强内固定,并经下鼻道开口放入Foley加压水囊,利用水囊扩张、复位上颌窦前壁、内侧壁、眶底骨折。结果:32例患者采用Foley加压水囊治疗,总体治愈率达97%,术后反应轻,取出时痛苦少,出血少,术中成形效果好,面部肿胀时间短,愈合速度快。结论:上颌骨骨折手术中采用Foley加压水囊配合坚强内固定治疗,具有操作简单、经济实用、效果明显、适应证广等优点。

PURPOSE： To discuss the application of Foley pressurized bladders with rigid internal fixation in treating 32 cases of maxillary comminuted fractures and analyze the clinical advantages. METHODS： All the 32 cases of maxillary comminuted fractures were approached with maxillary vestibular or coronary incision. The infraorbital border and maxillary forehead were replaced and fixed with titanium plate. Foley pressure bladders was placed through opening into the inferior meatus. Balloon dilatation was used to reposition the maxillary anterior, medial wall and orbital floor fracture. RESULTS： Thirty-two cases of maxillary comminuted fractures were treated with Foley pressurized bladders. The overall curative rate was 97.2%. Patients had less pain and bleeding with slight reaction after surgery. The facial swelling time was shorter and the recovery of the contour was good. CONCLUSIONS： Use of Foley pressurized bladders in maxillary fractures is simple, economical and practical. The result is satisfactory and the indication is wide.