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目的:探讨经皮微创坚强内固定在颧骨骨折中的效果。方法:对2003—2009年收治的342例颧骨骨折患者,采用Zingg分类法分成3类。根据分类特点,采用相应的经皮微创切开复位坚强内固定,通过术后CT及面形改变程度来判定治疗效果。结果:342例患者中,19例发生感染,其余伤口均一期愈合。所有患者术后面形对称,CT见骨折断端对位良好,面部微创切口瘢痕极其轻微,不影响美观。结论:采用经皮微创坚强内固定治疗颧骨骨折具有创伤小、面部瘢痕轻微、术后并发症少等优点,是一种较理想的颧骨骨折治疗方法。
Objective: To investigate the effect of percutaneous minimally invasive and internal fixation in zygomatic fracture. Methods: 342 patients with zygomatic fracture who were treated in 2003-2009 were divided into three groups according to the Zingg classification. According to the classification characteristics, the corresponding minimally invasive percutaneous minimally invasive restoration of strong internal fixation, postoperative CT and the degree of surface change to determine the treatment effect. Results: Of the 342 patients, 19 were infected and the remaining wounds were healed one time. All patients were symmetrical after surgery, CT fractures in good alignment, minimally invasive facial scar incision is minimal, does not affect the appearance. Conclusion: The treatment of zygomatic fractures with percutaneous minimally invasive and strong internal fixation has the advantages of less trauma, less facial scarring and less postoperative complications, which is an ideal treatment for zygomatic fracture.