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本文对182例颌面部骨折病例的治疗进行了回顾性分析。本组病例中,下颌骨骨折最多116例(63.7%)。其次是上颌骨和颧骨。采用颌间牵引复位固定66例(36.3%),手术复位骨间固定35例(19.2%),手法复位单颌结扎固定状例(15.4%),17%的骨折病例用两种或两种以上的复位固定。骨折的治愈率97.25%,骨折线上受累牙齿的保存率93.8%,感染率1.6%.结果表明保留骨折线上的牙齿有利于骨折的复位和固定。颌间牵引定位固定是治疗颌骨骨折的主要方法,具有其它治疗方法难以替代的优点。
In this paper, 182 cases of maxillofacial fractures were retrospectively analyzed. In this group of patients, up to 116 cases of mandibular fractures (63.7%). Followed by the maxilla and cheekbones. Sixty-six cases (36.3%) were treated with intermaxillary traction reduction, 35 cases (19.2%) were treated with interosseous fixation, 15 cases (15.4%) with manual maxillofacial ligation, 17 cases were treated with two or more Reset fixed. The cure rate of fractures was 97.25%, and the preservation rate of the affected teeth on the fracture line was 93.8% and the infection rate was 1.6%. The results showed that retaining the teeth on the fracture line was helpful for the reduction and fixation of fractures. Intermaxillary traction positioning and fixation is the treatment of jaw fracture the main method, with other treatment methods are difficult to replace the advantages.