上海口腔医学

上海口腔医学 ›› 2020, Vol. 29 ›› Issue (3): 333-336.doi: 10.19439/j.sjos.2020.03.021

• 临床总结 • 上一篇    

微型钛板在内固定治疗下颌骨粉碎性骨折中的应用：21例临床分析

陈伟, 房睿   

  1. 沈阳市口腔医院 口腔颌面外科,辽宁 沈阳 110001
  • 收稿日期:2019-10-21 修回日期:2019-12-26 出版日期:2020-06-25 发布日期:2020-07-29
  • 通讯作者: 陈伟,E-mail：pettr123@163.com
  • 作者简介:陈伟（1982-）,男,硕士,副主任医师
  • 基金资助:
    辽宁省自然科学基金（2013020163）

Internal fixation of mandibular comminuted fracture with mini-titanium plate: a retrospective study of 21 cases

CHEN Wei, FANG Rui   

  1. Department of Oral and Maxillofacial Surgery, Stomatology Hospital of Shenyang. Shenyang 110001,Liaoning Province, China
  • Received:2019-10-21 Revised:2019-12-26 Online:2020-06-25 Published:2020-07-29

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摘要： 目的 研究微型钛板内固定术在治疗下颌骨粉碎性骨折中的应用价值。方法 选择2017年3月—2018年2月沈阳市口腔医院收治的下颌骨粉碎性骨折患者21例。所有患者均给予微型钛板坚固内固定,分别在患者下颌骨下缘、上缘、外皮质中部进行固定。观察术后骨折愈合情况及不良反应发生情况。结果 术后3个月内,所有患者均达到骨性愈合,平均时长为（1.53±0.36）个月。21例患者中,6例（28.57%）出现轻微咬合不正,1例（4.76%）发生局部感染,未出现微型钛板断裂、持续疼痛、开口受限、牙损伤、面神经损伤及骨不连患者。结论 微型钛板内固定术适用于无骨缺损的下颌骨粉碎性骨折患者,具有术后骨折愈合良好、时间短、不良反应少的优点。

关键词: 微型钛板, 内固定术, 下颌骨粉碎性骨折

Abstract: PURPOSE: To investigate the value of internal fixation in management of mandibular comminuted fracture with mini-titanium plate. METHODS: Twenty-one patients with mandibular comminuted fracture treated in Stomatology Hospital of Shenyang from March 2017 to February 2018 were enrolled, the patients received internal fixation with mini-titanium plate. The lower mandibular margin, upper mandibular margin and middle outer cortex were fixed respectively. The postoperative fracture healing and adverse reactions were recorded and analyzed. RESULTS: All patients achieved bone healing within 3 months after surgery, with an average duration of (1.53±0.36) months. Among 21 patients, six patients (28.57%) had minimal occlusion, and 1 patient (4.76%) had local infection. No microtitanium plate fracture, persistent pain, limited mouth opening, tooth injury, facial nerve injury or nonunion were found. CONCLUSIONS: Internal fixation with mini-titanium for comminuted mandibular fracture patients without bone defects has the advantages of good postoperative fracture healing, short healing time and few adverse reactions.

Key words: Mini-titanium plate, Internal fixation, Mandibular comminuted fracture

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