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口腔颌面部金属异物取出61例临床总结
引用本文:鲁伟,高玉萍,毛永惠,杨长有. 口腔颌面部金属异物取出61例临床总结[J]. 口腔颌面外科杂志, 2010, 20(6): 429-430. DOI: 10.3969/j.issn.1005-4979.2010.06.013
作者姓名:鲁伟  高玉萍  毛永惠  杨长有
作者单位:[1]玉溪市人民医院口腔科,云南玉溪653100 [2]玉溪市妇幼保健院口腔科,云南玉溪653100
摘    要:
目的:探讨口腔颌面部金属异物最佳手术取出途径。方法:将我科1999—2008年口腔颌面部金属异物61例诊治情况进行分析总结。结果:61例中的65个口腔颌面部金属异物都顺利取出,没有发生伤口感染,创口均愈合良好。结论:口腔颌面部异物应用平板探测器X线数字成影(DDR)线片,必要时可行三维CT重建准确定位,在明确诊断后,尽量沿着原创口选择手术途径,如明视下手术取出困难可在X线透视下取出。

关 键 词:口腔颌面部  金属异物  手术取出

Metal Foreign Bodies in Oral and Maxillofacial Region
LU Wei,GAO Yu-ping,MAO Yong-hui,YANG Chang-you. Metal Foreign Bodies in Oral and Maxillofacial Region[J]. Chinese Journal of Oral and Maxillofacial Surgery, 2010, 20(6): 429-430. DOI: 10.3969/j.issn.1005-4979.2010.06.013
Authors:LU Wei  GAO Yu-ping  MAO Yong-hui  YANG Chang-you
Affiliation:1.Department of Stomatology,Yuxi Municipal People' Hospital,Yuxi 653100;2.Department of Stomatology, Yuxi Municipal Hospital for Women and Children Health Care,Yuxi 653100,Yunnan Province,China)
Abstract:
Objective:To discuss the best way for removal of metallic foreign body in oral and maxillofacial region. Method:A retrospective review on 65 metallic foreign bodies(1999-2008) in 61 patients.Diagnosis and treatments were analyzed and summarized.Results:65 metallic foreign body in oral and maxillofacial region were successfully removed,no secondary infection,all wound healed well.Conclusion:The application of flat-panel digital detector X ray film(DDR) is reliable in the diagnosis and location of oral and maxillofacial foreign body.If necessary,accurate positioning by threedimensional CT reconstruction is feasible.The original treatment is surgery operation,if necessary the operation should be guided by X-ray.
Keywords:Oral and maxillofacial region  Metallic foreign body  Surgical removal
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