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目的探讨口腔颌面部骨折临床治疗方法。方法 50例患者不同颌骨骨折部位选择不同的复位固定术。结果 47例患者术后咬合关系正常,功能得到恢复。其中1例患者不配合治疗,单侧术后咬合关系正常,一侧无咬合。1例男性患者上颌骨Ⅱ型骨折合并脑挫裂伤病情稳定后采取牙弓夹板颌间固定加颅颌固定,3月愈合。2例下颌角骨折患者坚强内固定术后出现下唇麻木感,积极治疗后愈合。结论作为基层医疗单位的医师,在治疗颌骨骨折中,迅速、及时判断伤情并抢救生命是外伤早期处理的关键,早期正确复位固定是骨折良好愈合的基础。灵活运用治疗方法,防止并发症,保证疗效,减少医疗费用。
Objective To investigate the clinical treatment of oral and maxillofacial fractures. Methods Fifty patients underwent different types of reduction and fixation in different parts of jaw fracture. Results 47 cases of postoperative occlusal relationship was normal, the function recovered. One patient did not cooperate with the treatment, occlusion of unilateral normal relations, no occlusion on one side. One case of male patients with maxillary type Ⅱ fracture complicated by cerebral contusion and laceration after the use of dental arch splint plus cranial jaw fixed in March healed. In 2 patients with mandibular angle fracture, the lower lip numbness appeared after strong internal fixation and was healed after active treatment. Conclusion As a physician of the primary medical unit, in the treatment of jaw fracture, prompt and timely judgment of the injury and the rescue of life are the key points of early treatment of trauma. Early correct reset and fixation are the basis of good fracture healing. Flexible use of treatment methods to prevent complications, ensure efficacy, reduce medical costs.