冠状切口下全面部骨折的治疗
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【摘要】 目的通过冠状切口下治疗全面部骨折,探讨冠状切口下治疗全面部骨折的优势和临床应用。方法选择2002年1月至2009年12月我院确诊的全面部骨折患者90例,采用冠状切口及附加其它小切口切开复位内固定术进行治疗,随访1年,通过观察患者的解剖复位、咬合关系、张口度及各种并发症的发生情况,评价手术的疗效。结果90例患者1年后解剖复位、咬合关系和张口度恢复都达到90%以上,并发症的主要类型是切口疼痛、脱发疤痕畸形和面部麻木,并发症的发生率均在6%以内,患者的满意率为100%。结论冠状切口切开复位内固定术是治疗全面部骨折的有效方法,值得在临床中推广应用。
【关键词】 冠状切口全面部骨折治疗
【中图分类号】 R473.78【文献标识码】 A【文章编号】 1674-0742(2011)05(c)-0024-02
The Treatment of Panfacial Fracture under Coronal Incision
【Abstract】 ObjectiveTo investigate the advantage and clinical application of treating the panfacial fracture under the coronal incision through treating the panfacial fracture under the coronal incision.MethodsSelected 90 cases of the panfacial fracture in our hospital from 2002 to 2009 and applied the coronal incision open reduction and internal fixation for treatment,after following them up by observing the patient's anatomical reduction,facial symmetry,mouth opening and a variety of complications to evaluate the outcome of the surgery.ResultsOne year later,more than 90% of anatomical reduction,facial symmetry and mouth opening of the 90 patients were recovered and the major types of complicating diseases were incision pain,phalacrosis,scar,deformity and facial numbness,the rate of the complication were less than 6% ......
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