感染颌骨骨折的坚强内固定

Application of rigid internal fixation in the infected jaw fractures

目的 通过对感染颌骨骨折在清创同期进行坚强内固定的疗效调查 ,探讨坚强内固定技术在感染颌骨骨折中的应用价值。方法 收集 1 989年～ 1 999年北京大学口腔医学院收治的感染颌骨骨折在清创同期行钛板植入坚强内固定者 1 4例 ,根据术前、术后临床及X线检查结果 ,分析骨折愈合情况及术后并发症。结果 除 1例未随诊外 ,其余 1 3例均发生正常骨愈合。术后出现并发症者 4例 ,其中 3例再次感染 ,1例下齿槽神经麻木。

Objective To assess the application of rigid internal fixation(RIF) in treatment of the infected jaw fractures.Methods Fourteen jaw fractures with infection before surgical management were involved in this investigation.All cases were debrided and simutaneously reducted and fixed by using plates.Postoperative clinical and radiological examination were available for 13 patients,which were followed up.Results Four of 14 patients suffered the complication after operation,3 got infected again,1 has inferior alveolar nerve numbness and others healed uneventfully.Conclusion The placement of plates at the same time of debriding the infection is a feasible means to treat the infected jaw fractures.