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目的探讨口腔颌面部软组织内木质异物的诊断和治疗措施。方法通过对9例口腔颌面部软组织内木质异物的诊断和治疗过程分析,总结合理有效的诊治方法。结果 3例伤后即时就诊者有异物外露端,自入口处取出异物,继发感染病例,急性感染3例,控制感染后再取异物,慢性瘘道形成者B超检查可发现异物存在,自瘘道口处切口取出异物,9例异物取出或排除后伤口均愈合良好。结论 B超检查可作为口腔颌面部软组织内木质异物残留诊断的首选方法,自入口处沿异物刺入方向的相反方向取出可最大程度减少木质异物的残留。
Objective To investigate the diagnosis and treatment of wooden foreign bodies in oral and maxillofacial soft tissues. Methods 9 cases of oral and maxillofacial soft tissue lesions of wood foreign body diagnosis and treatment analysis, summed up reasonable and effective diagnosis and treatment methods. Results Three patients were diagnosed immediately after injury with foreign bodies exposed, foreign bodies removed from the entrance, secondary infection, acute infection in 3 cases, control of infection and then take foreign body, chronic fistula found by B-ultrasound can be found in foreign body, since Fistula incision to remove foreign body foreign body, 9 cases of foreign bodies removed or excluded after the wound healed well. Conclusion B-ultrasound can be used as the preferred method for the diagnosis of residual foreign body tissue in oral and maxillofacial soft tissues. The removal of woody foreign matter can be minimized by removing it from the entrance in the opposite direction of the penetration.