49例下颌骨粉碎性骨折临床回顾分析

doi:10.19438/j.cjoms.2018.05.014

中国口腔颌面外科杂志 ›› 2018, Vol. 16 ›› Issue (5): 452-455.doi: 10.19438/j.cjoms.2018.05.014

49例下颌骨粉碎性骨折临床回顾分析

刘淑莉, 徐兵^*, 史俊^*

上海交通大学医学院附属第九人民医院·口腔医学院口腔颅颌面科,国家口腔疾病临床研究中心, 上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011

收稿日期:2018-03-12 出版日期:2018-09-20 发布日期:2018-11-06
通讯作者: 徐兵,E-mail: bingxu568@hotmail.com;史俊,E-mail: 563109046@qq.com。共同通信作者
作者简介:刘淑莉（1991-）,女,硕士研究生,E-mail：1584512490@qq.com

Retrospective study of 49 comminuted mandibular fractures

LIU Shu-li, XU Bing, SHI Jun

Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology. Shanghai 200011, China

Received:2018-03-12 Online:2018-09-20 Published:2018-11-06

摘要/Abstract

摘要： 目的: 探讨下颌骨粉碎性骨折的治疗方法。方法: 回顾总结49例下颌骨粉碎性骨折患者的临床信息、治疗方法及随访结果。结果: 49例患者中,男33例,女16例;31%为交通事故伤,术后10例发生感染,1例咬合紊乱,1例关节强直,1例骨不连,并发症率为26.5%。结论: 下颌骨粉碎性骨折可采用多种方法治疗,但仍有较高的感染率,治疗效果不甚理想。

关键词: 下颌骨粉碎性骨折, 坚固内固定, 重建板, 钛网

Abstract: PURPOSE: To summarize the treatment of comminuted mandibular fractures. METHODS: The records of 49 patients with comminuted mandibular fractures were analyzed for treatment and outcomes. RESULTS: Among 49 patients, 33 were male, 16 were female; 31% were traffic accident injury, 10 had postoperative infection, 1 had malocclusion, 1 had temporo-mandibular joint ankylosis, 1 had nonunion, the complication rate was 26.5%. CONCLUSIONS: There are several approaches to manage comminuted mandibular fracture, however, the infection rate was still high and the therapeutic effect is not good.

Key words: Comminuted mandibular fractures, Open reduction internal fixation, Reconstruction plates, Titanium mesh

中图分类号:

R782

刘淑莉, 徐兵, 史俊. 49例下颌骨粉碎性骨折临床回顾分析[J]. 中国口腔颌面外科杂志, 2018, 16(5): 452-455.

LIU Shu-li, XU Bing, SHI Jun. Retrospective study of 49 comminuted mandibular fractures[J]. China J Oral Maxillofac Surg, 2018, 16(5): 452-455.

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49例下颌骨粉碎性骨折临床回顾分析

Retrospective study of 49 comminuted mandibular fractures

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