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目的研究口内入路钛板固定下颌骨骨折治疗后并发症,分析原因并提出预防方法。方法回顾分析我院103例下颌骨骨折患者的治疗及并发症情况。结果治疗后发生的并发症有张口受限1例,咬合不良10例,术后感染3例,不良愈合2例,松脱外露1例,神经损伤2例。结论下颌骨骨折的治疗应首选坚强内固定,应选择正确的手术方案,加强术前、术后抗感染治疗及术后肌功能训练,对骨折线上的阻生齿应尽可能保留,以减少并发症。
Objective To study the postoperative complications of mandibular fractures treated with titanium plate in the mouth and to analyze the causes and prophylaxis. Methods A retrospective analysis of 103 cases of patients with mandibular fractures in our hospital treatment and complications. Results Complications occurred in 1 case of limited mouth opening, poor occlusion in 10 cases, postoperative infection in 3 cases, 2 cases of unhealthy healing, 1 case of loose exposure and 2 cases of nerve injury. Conclusions The treatment of mandibular fractures should be the first choice for internal fixation. The correct surgical plan should be selected to improve preoperative and postoperative anti-infective therapy and postoperative muscle function training. The occlusion teeth on the fracture line should be kept as much as possible to reduce complication.