在眶颧骨折的手术治疗中及坚强内固定的应用

Surgical Reduction and Rigid Imternal Fixation of Orbitozygonatic Fractures

目的 探讨眶颧骨折的手术治疗时机、手术方法及坚强内固定的应用原则。方法 回顾性分析经过治疗的 10 5例眶颧骨折病例 ,对其发病原因、临床特点、诊断、治疗时机及方法进行探讨。着重讨论手术切开复位与坚强内固定技术的应用、临床效果及注意事项。结果 该组共 10 5例 ,男性 ( 78例 )占 78.6 % ,好发于2 1～ 4 0岁年龄段。交通事故伤为最主要的病因 ,占 5 8.1%。骨折以Ⅱ型为最多 ( 4 8.6 % )。最常用的手术进路为 (半 )冠状切口 +前庭沟切口。所有病例均采用手术切开复位及坚强内固定技术 ,并获得了满意的临床效果。结论 手术切开复位及坚强内固定技术的联合应用是治疗眶颧骨折 。

Objective:To determine the cause,clinical characteristics and treatment of orbitozygomatic fractures.Methods:A retrospe-ctive review of 105 patient records was conducted.Data regarding age ,cause of fracture,anatomic site,treatment modalities and clinical results were reviewed.Results:Of the 105 patients,78.6% were male,with the peak incidence occuring in the age group from 21 to 40 years old .Of the fractures,58.1% were due to traffic accidents.Most patients (87.8%) were treated by open reduction surgery and rigid internal fixation.All of the patients regained normal face appearance and functional occlusion.Conclusions:Surgical reduction and rigid internal fixation of midface fractures is a satisfactory method of treatment.