医用胶联合微钛板在上颌骨粉碎性骨折中的应用

The application of medical adhesives combined with mini-titanium plate in maxillary comminuted fracture

目的：观察上颌骨粉碎性骨折手术中应用医用胶联合微型钛板进行固定的临床效果。方法：选取43例上颌骨粉碎性骨折患者,采取口内前庭切口联合睑缘下切口,复位眶骨下缘、上颌骨额突、颧突,行微型钛板坚强内固定,上颌窦壁粉碎性骨折患者采用医用胶修复治疗,观察临床效果。结果：43例患者术后均愈合良好,显效26例,有效13例,无效4例,治愈率93%。术后三维CT显示面部左右对称,骨折部位外形恢复良好,畸形明显改善,术后随访3-6个月,均未遗留明显面部畸形,咬牙合关系正常。结论：医用胶联合微钛板修复上颌骨粉碎性骨折复位效果稳定可靠,操作过程简单安全,经济实用,适宜临床推广。

Objective： To investigate the clinical effects of medical adhesives combined with mini-titanium plate in the application of maxillary comminuted fracture. Methods： Forty-three patients with maxillary comminuted fracture were treated with oral vestibular combined with palpebral margin incision,reseting the lower edge of orbital bone,frontal process of maxilla and zygomatic process,and internal fixation with mini-titanium plate. The comminuted fracture of the maxillary sinus wall were treated with medical adhesives,the effect of which was observed. Results： All patients recovered well,26 cases were markedly effective,13 cases were effective,4 cases were ineffective,the cure rate were 93%. The postoperative CT showed that the face was bilateral symmetry,the fracture shape recovery well and the deformed improved significantly. The patients were followed up for 3 to 6 months,no obvious facial deformation was found,and occlusal relationship was normal. Conclusions： The restoration effects of the medical adhesives combined with mini-titanium plate in the restoration of maxillary comminuted fracture is stable and reliable. The operation process is simple,safe,economical and practical,which is suitable for clinical use.