自身增强聚乳酸接骨板在颌骨骨折中临床应用体会.pdfVIP

Chinese ofPractical Journal Stomatology 论 著 自身增强聚乳酸接骨板在颌骨骨折中的 I临床应用体会 曲昌锋，陆平，周晓南，赵延峰 文章编号：1674—1595(2009)11—0690—02中图分类号：R78文献标志码：A 摘要：目的 应用自身增强聚乳酸接骨板治疗颌面部骨折，评价其临床应用价值。方法 选择2006年1月至 2008年12月大连市中·C．2医院口腔颌面外科35例颌面部骨折病例，均行坚固内固定手术治疗，术中共使用自身增 强聚乳酸接骨板67块，下颌骨颏孔区骨折术后辅以牙弓夹板固定。术后观察并评价疗效。结果术后所有病例 病例；远期随访未出现骨折移位、瘘管形成和固定材料排出等现象。结论 自身增强聚乳酸接骨板可广泛应用 于上颌骨骨折和下颌骨正中线性骨折；颏孔区线性骨折需辅以牙弓夹板固定。 关键词：颌骨骨折；自身增强聚乳酸接骨板；应力遮挡 useofself-reinforcedacid in fractures． Clinical polylacticplatejaw QuChang-feng，LUPi昭，ZHOU Xiao—nan，ZHAO Oraland Central 116033， yon币rig．Departmentof MaxillofacialSurgery，DalianHospital，Dalian China To theclinicalvalueofself-reinforcedacid in fractures．Methods Abstract：Objectiveinvestigate polylacticplatejaW Atotalof35 withmaxillofacialfracturewereselectedfrom ofOralandMaxillofacial patients Department Surgery，Da— lianCentral from 2006toDecember2008．All weretreatedwith internal 67 HospitalJanuary patients rigid fixation，and self-reinforcedacid wereused．Dentalarch fixationwasusedafter formandibular Polylacticplates splint operation sym— fracture．ResultsAllcaseshealed andmaintained relationafter1 fol— physis primarily satisfactoryoccluding year occurred．ConclusionsSelf-reinforcedacid are usedinthefractures low-up．Nocomplication polylacticplateswidely ofmaxillaand mentalis．Thefractureofmentalforamenshouldcombinedental but is regio splintsintermaxillarywiring not necessary． fracture；self-reinforcedacid Keywords：jaw polylacticplates；stressshielding 目前，颌骨骨折坚固内