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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。
Objective: To summarize the clinical features and surgical treatment of infectious mandibular fractures. Methods: 35 cases of infectious mandibular fractures were treated with reconstructive plate fixation. Retrospective analysis of the fracture site, etiology, diagnosis, surgical methods and outcomes, and the main points of surgical treatment of infectious mandibular fractures and reconstruction plate fixation . Results: In 35 cases of infectious mandibular fracture, 34 cases were healed one after operation, the fracture was well reset and the occlusion relationship returned to normal. One case of chin initial infective fracture reconstruction plate 2 months after fixation, chin skin depression, palpable and bone defects. Second surgery: implanted iliac bone, replay a reconstruction plate, a small piece of titanium fixed, and ultimately the second phase of healing. Conclusion: Infectious mandibular fracture, reconstruction plate has good stability and reliability; the reconstruction plate solid internal fixation is the most important measure to prevent comminuted fracture infection.