上海口腔医学

上海口腔医学 ›› 2015, Vol. 24 ›› Issue (1): 115-117.

• 临床总结 • 上一篇    下一篇

重建板坚固内固定治疗感染性下颌骨骨折

张德辉,刘希云   

  1. 首都医科大学附属北京世纪坛医院 口腔科,北京 100038
  • 收稿日期:2014-03-06 出版日期:2015-02-20 发布日期:2015-07-24
  • 通讯作者: 张德辉,E-mail:zhangdh1966@sina.com
  • 作者简介:张德辉（1966-）,男,硕士,副主任医师

Management of infected fractures of the mandible by open reduction and rigid internal fixation with reconstructive plates

ZHANG De-hui,LIU Xi-yun   

  1. Department of Stomatology, Beijing Shijitan Hospital, Capital Medical University. Beijing 100038, China
  • Received:2014-03-06 Online:2015-02-20 Published:2015-07-24

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摘要： 目的总结感染性下颌骨骨折的临床特点和手术治疗方法。方法对35例感染性下颌骨骨折采用重建板坚固内固定患者,回顾分析其骨折部位、病因、诊断、手术方法和结局,并对感染性下颌骨骨折手术要点和重建板坚固内固定进行讨论。结果35例感染性下颌骨骨折病例,34例手术后一期愈合,骨折复位良好,咬合关系恢复正常。1例颏部初始感染性骨折重建板固定术后2个月,颏部皮肤凹陷,可扪及骨缺损。二次手术时：植入髂骨块,重放重建板1块,小钛板1块固定,最终二期愈合。结论对感染性下颌骨骨折,重建板具有良好的稳定性和可靠性;重建板坚固内固定是预防粉碎性骨折感染最重要的措施。

关键词: 感染性下颌骨骨折, 下颌骨粉碎性骨折, 重建板, 坚固内固定

Abstract: PURPOSE: To evaluate the epidemiology and the treatment of infected fractures of the mandible. METHODS: Thirty-five cases of infected mandible fractures treated by extra oral open reduction and rigid internal fixation with reconstructive plates were retrospectively investigated. RESULTS: The fracture healing and occlusion recovery of 34 cases were satisfied without any nonunion or deformity, except 1 case healed after bone grafting for bone defect. CONCLUSIONS：The reconstructive plate fixation is applicable to the treatment of infected mandible fractures by its excellent stability and reliability.

Key words: Infected mandible fracture, Comminuted mandibular fracture, Reconstructive plate, Rigid intenal fixation

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