颧眶骨折手术治疗的临床研究-口腔科-新桥医院.PDFVIP

( ) ( ) 4·86 · 实用口腔医学杂志 J Pract Stom ato l 2007 Ju l, 23 4 颧眶骨折手术治疗的临床研究 谭颖徽 　王建华 　张纲 　裘松波 【摘要 】　目的: 回顾性研究颧眶区骨折的手术治疗方法 。方法 :统计我科 200203～200602病房收治的 118 例 口腔颌面部骨折患者病历资料 ,对其中手术治疗的 38 例颧眶区骨折患者的手术治疗方法 、疗效进行分析 。 结果 :手术治疗的颧眶区骨折患者均获得 良好疗效 , 患者面型、咬合恢复满意 ,无严重手术并发症发生 。结 ( ) 论 :手术治疗应为颧眶区骨折确定性治疗的首选方法 ,复位后颧颞缝 或颧弓 、颧额缝和颧上颌支柱 3 点固 定可以保持颧骨体的稳定 ,伴有眶底缺损者应同期手术修复 。 【关键词 】　创伤 ;骨折 ;颧眶 Retro spective clin ic inve stiga tion of surg ica l m anagem en t of zygom a tioorb ita l fracture s Tan Ying hu i, W ang J ianhua, Z hang Gang, et a l. D ep a rtm en t of O ra l M ax illof acia l S u rg ery, X inqiao H osp ita l, The Th ird M ilita ry M ed ica l Un ivers ity, Chong q ing 400037, Ch ina 【A b stract 】O bjective: To retro sp ectively investigate the surgical treatm ents of zygom atioorb ital fractures. M eth ods: 308 inp atient record s of oral and m axillofacial fractu re s in X inqiao Ho sp ital from M ar, 2002 to Feb, 2006 were analyzed retro sp ectively. 38 cases of zygom atioorb ital fracture wh ich received surgical treatm entswere analyzed. Re sults: Good clin ical resu lts were obtained in all su rgical p atien ts w ith no severe comp lication s. Conclu sion : The sur gical op eration shou ld be the op tim al op tion in treatm en ts of zygom atioorb ital fracture s. The threepo in t fixation in zygom aticotemporal su tu re or zygom atic arch, fron tozygom atic suture and zygom aticom axillary bu ttress can keep the a natom y morpho logy of fractu red zygom atic body after reduction. The orb ital floor defects shou ld be rep aired du ring the op eration. 【Key words】　Traum a; F ractu re; Zy g om a tioorbita l 中图分类号 : R782. 4　文献标识码 : A 　文章编号 : 100 13733 (2007) 04 048603