中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2014, Vol. 12 ›› Issue (1): 74-76.

• 临床总结 • 上一篇    下一篇

合并多发伤的口腔颌面骨折47例救治体会

王兵, 姜国明, 韩培辉   

  1. 解放军第404医院 口腔科,山东 威海 264200
  • 收稿日期:2013-05-17 修回日期:2013-08-26 出版日期:2014-02-10 发布日期:2014-02-10
  • 通讯作者: 王兵,E-mail：WBWH404@163.com
  • 作者简介:王兵(1962-),男,学士,主任医师

Treatment of oral and maxillofacial fracture with multiple traumas in 47 cases

WANG Bing, JIANG Guo-ming, HAN Pei-hui   

  1. Department of Stomatology, The 404th Hospital of PLA. Weihai 264200, Shandong Province, China
  • Received:2013-05-17 Revised:2013-08-26 Online:2014-02-10 Published:2014-02-10

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摘要： 目的: 观察合并多发伤的口腔颌面骨折的救治效果。方法：对47例合并多发伤的口腔颌面骨折患者,在保持呼吸道通畅,保持生命体征稳定的前提下,与相关专科合作,处理颅脑外伤、胸腹外伤、骨盆或长骨骨折等多发伤。处理口腔颌面骨折的重点是在骨折复位后以微型钛板作坚固内固定,辅以颌间固定,坚持术后功能锻炼。结果：47例患者均无严重并发症发生,口腔颌面外伤治愈率为95.74%。结论：合并多发伤的口腔颌面骨折应根据伤情和严重程度决定救治次序,针对不同类型颌面骨折,选择合适的微型钛板作坚固内固定。

关键词: 多发伤, 口腔颌面外科, 骨折

Abstract: PURPOSE: To observe the effect of multidisciplinary approach on oral and maxillofacial fracture with multiple traumas. METHODS: Forty-seven patients with oral and maxillofacial fracture and multiple traumas were treated between January 2008 and December 2012. The airway was kept open, the vital signs remained stable, and multiple related injuries were treated via multidisciplinary approach. After open reduction, the fracture was fixed with miniature titanium plate. The patients were instructed to perform postoperative physical exercises. RESULTS: All patients survived after treatment. The curative rate of 47 patients was 95.74%. CONCLUSIONS: Oral and maxillofacial fracture with multiple traumas should be treated multidisciplinary according to the severity of injury. Suitable miniature titanium should be chosen to fix the fracture rigidly based on the type of fracture.

Key words: Mutiple trauma, Oral and maxillofacial surgery, Fracture