摘要
目的：探讨全面部骨折的的临床治疗的特点。方法：对1998—12—2005—12在河北医科大学口腔医学院就诊资料完整的96例全面部骨折病例进行回顾性总结分析。结果：96例中有男性55例，女性41例，年龄17～59岁，平均37．5岁；致伤原因主要以交通伤为主；创伤严重度较重，大部分合并全身并发伤；在所有病例中，有78例采取头皮冠状切口＋下颌骨切口，必要时附加其它小切口；18例采取局部小切口，即皮肤小切口、睑缘下切口或口腔前庭切口＋下颌骨切口；应用坚固内固定有72例，占75％，单纯钢丝骨间栓结24例，占25％。结论：开放复位和坚固内固定在全面部骨折治疗中可取得良好的预后效果。
Objetive： To retrospectively investigate the surgical treatment of 96 panfacial fractures. Methods： The clinical data of 96 patients with panfacial fracture admitted between Dec 1998 to Dec 2005 were investigated and analyzed, which focused on the clinical data. Results：Among 96 patients, there were 55 male patients and 41 female patients. Traffic accident was the leading etiologic factor for panfacial fractures. Coronary incision of scalp was used in 78 patients and local small incision was performed in 18 of them. Rigid internal fixation was used in 72 patients and the single application of transosseous wire fixation was found in 24 patients, Conclusion：The effects of early, timely reduction and fixation were better than those of secondary reduction and fixation in patients with panfacial fracture. Compared with other methods, open reduction and rigid internal fixation are much better in prognosis.
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2008年第3期422-424,共3页
Journal of Practical Stomatology
关键词
创伤
全面部骨折
手术
治疗效果
Trauma
Panfacial fracture
Surgery
Treatment effects
