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| 75例下颌骨粉碎性骨折的治疗效果评价 | |
| 引用本文： | 徐晓峰,朱方兴,廖倩,徐兵,沈国芳,张文斌,史俊. 75例下颌骨粉碎性骨折的治疗效果评价[J]. 中国口腔颌面外科杂志, 2021, 19(5): 456-459. DOI: 10.19438/j.cjoms.2021.05.013 |
| 作者姓名： | 徐晓峰 朱方兴 廖倩 徐兵 沈国芳 张文斌 史俊 |
| 作者单位： | 1.上海交通大学医学院附属第九人民医院 口腔颅颌面科,上海交通大学口腔医学院, 国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海 200011; 2.上海交通大学医学院附属第六人民医院 口腔科,上海 200233 |
| 基金项目： | 上海市科技委员会国际合作项目(17410710500,19441906000); 上海交通大学机器人研究院第九人民医院临床研究中心项目(IMR-NPH202003); 上海交通大学医学院附属第九人民医院临床研究型MDT项目（201906）; 上海交通大学医学院附属第九人民医临床研究助推计划（JYLJ201920） |
| 摘 要： | 目的:提出一种针对下颌骨粉碎性骨折的分类方法,并尝试将其用于临床评价.方法:回顾75例下颌骨粉碎性骨折患者,按照下颌骨是否伴有节段性骨缺损、下颌骨形态、下颌骨的粉碎程度、可否恢复稳定的咬合关系对其进行分类.按照严重程度,进行保守治疗或使用小型钛板、钛网或重建板进行手术.其中,44例按照分类及治疗策略进行治疗(实验组),... |
| 关 键 词： | 下颌骨 粉碎性骨折 分类 重建板 钛网 |
| 收稿时间： | 2021-02-25 |
| 修稿时间： | 2021-05-06 |
Evaluation of treatment results of 75 patients with comminuted mandibular fractures |
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| XU Xiao-feng,ZHU Fang-xing,LIAO Qian,XU Bing,SHEN Guo-fang,ZHANG Wen-bin,SHI Jun. Evaluation of treatment results of 75 patients with comminuted mandibular fractures[J]. China Journal of Oral and Maxillofacial Surgery, 2021, 19(5): 456-459. DOI: 10.19438/j.cjoms.2021.05.013 | |
| Authors: | XU Xiao-feng ZHU Fang-xing LIAO Qian XU Bing SHEN Guo-fang ZHANG Wen-bin SHI Jun |
| Affiliation: | 1. Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Disease; Shanghai Key Laboratory of Stomatology. Shanghai 200011; 2. Department of Stomatology, Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200233, China |
| Abstract: | PURPOSE: This study aimed at proposing a new treatment-oriented classification and treatment algorithm of comminuted mandibular fractures based on analysis of 75 consecutive cases. METHODS: Seventy-five patients with comminuted mandibular fractures were retrospectively reviewed in this study. The classification was based on whether a stable occlusal relationship could be regained, morphology of mandible after trauma, degree of comminution and whether segmental mandibular bone defect happened. Based on traumatic condition, five classes were categorized and conservative treatment, miniplates fixation, reconstruction plates fixation, staged operations fixation with titanium meshes and bone flap transplantation were used for the management of the fracture. Forty-four patients in the experimental group were treated according to the classification while other thirty-one in the control group were not. RESULTS: After surgery, three patients developed infection, one patient presented malocclusion in the experimental group. Four patients developed infection, two patients had bone un-union, two patients presented malocclusion and one patient had mandibular asymmetry in the control group. CONCLUSIONS: The treatment-oriented classification and algorithm for comminuted mandibular fractures provide guidance for the choice of treatment methods and can decrease complication rate but further clinical research is needed. |
| Keywords: | Mandible Comminuted fracture Classification Reconstruction plate Titanium mesh |
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