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目的:分析颌骨骨折内固定术后拆除钛板原因及其影响因素,为提高临床疗效提供理论依据。方法:收集笔者医院2011年1月-2015年12月就诊的40例颌骨骨折坚强内固定术后拆板患者相关资料,对术后拆除钛板病例的拆板原因进行总结,并对其影响因素进行分析。结果:本组术后拆板的原因主要有局部流脓18例、患者要求14例、钛板外露4例、钛板断裂1例、钛板松动1例、局部反复肿胀1例、其他手术同期取出1例。结论:对于有明显临床症状的患者,如:局部流脓、钛板外露、钛板断裂、钛板松动、种植需要等,可行相关手术取出钛板。对于无明显症状的钛板不主张手术取板。
OBJECTIVE: To analyze the causes and influencing factors of titanium plate removed after internal fixation of mandibular fracture, so as to provide theoretical basis for improving clinical curative effect. Methods: The data of 40 cases of rigid internal fixation of mandibular fracture who were treated in our hospital from January 2011 to December 2015 were collected, and the reasons of removing the plate after the removal of titanium plate were summarized, Factors for analysis. Results: There were 18 cases of local pus in our hospital, 14 cases were required, 4 cases were exposed by titanium plate, 1 case was broken by titanium plate, 1 case was loose by titanium plate, 1 case was repeated by local repeated swelling, Remove 1 case. Conclusion: For patients with obvious clinical symptoms, such as: local pus, exposed titanium plate, titanium plate, titanium plate loose, planting needs, etc., feasible removal of titanium plate surgery. For no obvious symptoms of titanium plates do not advocate surgery plate.