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目的观察颌间牵引钉结合微型钛板治疗下颌骨骨折的疗效。方法选择下颌骨不同部位骨折患者120例,将骨折断端复位后,即植入牵引钉行颌间牵引后,再以微行钛板1~2枚行骨折断端坚固内固定。术后完全清醒后,即行颌间牵引1~2周。结果所有病例术后即恢复正常咬合关系,开口度、开口型恢复良好。随访0.5~2a,患者咬合关系稳定,未见并发症。结论颌间牵引钉结合微型钛板治疗下颌骨骨折疗效可靠,是一种较为理想的下颌骨骨折治疗方法。
Objective To observe the effect of intermaxillary traction nail and mini titanium plate in the treatment of mandibular fracture. Methods 120 patients with different parts of the mandible fractures were selected. After the fracture ends were reset, the traction implanted jaws were intermaxillary traction, and then 1 to 2 fractures of the titanium plate were fixed with internal fixation. After complete awake, that is to intermaxillary traction 1 to 2 weeks. Results All patients returned to normal occlusion after surgery, opening degree and opening type recovered well. Follow-up 0.5 ~ 2a, the patient occlusal relationship was stable, no complications. Conclusion Intermaxillary traction with micro-titanium plate in the treatment of mandibular fractures with reliable results is an ideal method of treatment of mandibular fractures.