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目的:探讨面中部骨折的特点及其手术复位固定的方法。方法:我院收治的面中部骨折患者53例,术前均行螺旋CT三维重建,根据骨折类型确定手术方案,术中辅以牵引钉颌间咬合复位固定,应用微型钛板根据骨折的部位和形态行坚固内固定。结果:51例患者术后创口均一期愈合,面型良好,咬合关系恢复,开口度2指以上,骨折段愈合良好,仅2例伤口感染引流后愈合。结论:结合三维重建技术进行检查,术中颌间咬合固定,对面中部骨折行切开复位内固定是一种安全可行的手术方案。
Objective: To investigate the characteristics of middle facial fractures and the methods of surgical reduction and fixation. Methods: Fifty-three patients with midfacial fractures treated in our hospital underwent three-dimensional reconstruction of spiral CT before operation. The surgical plans were determined according to the type of fracture. The operation was assisted by reduction and fixation of traction intermaxillary occlusion. The application of mini- Form line solid internal fixation. Results: All the wounds in 51 patients were healed one after the other. The surface of the wounds recovered well with the occlusal relationship restored. The opening degree was above 2, and the healing of the fracture was good. Only 2 wounds healed after drainage and drainage. Conclusion: Combined with three-dimensional reconstruction technique, intraoperative and intermaxillary occlusion fixation, open reduction and internal fixation of the opposite midline fracture is a safe and feasible surgical plan.