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目的总结颌面外伤的诊断、治疗措施。方法对我科2010—2012年收治的300例口腔颌面外伤住院病例进行临床分析。结果经过相应的综合抢救治愈后,300例患者全部治愈。178例单纯软组织损伤者清创缝合后,均达到Ⅰ期愈合标准;122例颌骨折患者均根据病情采用外固定法、内固定法、联合固定及其他方法达到恢复正常检验关系目的。结论软组织损伤均早期清创缝合,尽量保留外部组织,颌骨骨折后根据病情,选择合适的手术方式,早期复位固定,有利于手术后患者的功能恢复。
Objective To summarize the diagnosis and treatment of maxillofacial trauma. Methods The clinical data of 300 cases of oral and maxillofacial trauma admitted in our department from 2010 to 2012 were analyzed. Results After the corresponding comprehensive rescue and cure, all 300 patients were cured. 178 cases of simple soft tissue injury were debridement and suturing, all reached the first phase of healing standards; 122 cases of patients with maxillofacial fractures were based on the disease using external fixation, internal fixation, joint fixation and other methods to achieve the purpose of returning to normal test. Conclusion All the soft tissue injuries were debridement and early suture, and the external tissues were retained as far as possible. According to the condition of the jaw fractures, the appropriate surgical procedures were selected and the patients were reset and fixed early, which is good for the functional recovery of patients after operation.