| 21例严重颅面复合伤的诊断与治疗 |
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| 引用本文： | 刘海生,赵丛海,朱冬冬,徐洪君,杨占泉. 21例严重颅面复合伤的诊断与治疗[J]. 临床耳鼻咽喉头颈外科杂志, 2002, 16(3): 106-108 |
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| 作者姓名： | 刘海生 赵丛海 朱冬冬 徐洪君 杨占泉 |
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| 作者单位： | 1. 吉林大学中日联谊医院耳鼻咽喉-头颈外科,长春,130031
2. 吉林大学中日联谊医院神经外科 |
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| 摘 要： | 目的 :探讨严重颅面复合伤的诊断与治疗方法。方法 :严重颅面复合伤 2 1例 ,经面部开放性创口行骨折复位固定 9例 ,面中部掀翻术进路复位固定 4例 ,颅面联合切口骨折复位固定 4例 ,多切口骨膜下隧道贯通暴露法复位固定 4例。行关闭颌间结扎固定治疗 12例 ,采用开放坚强内固定技术治疗 9例。结果 :随访 16例 ,咀嚼功能均恢复。结论 :颅面复合伤是一种复杂急症 ,要求医生掌握全面的骨折分类法及综合诊断能力 ,并应重视手术复位和坚强内固定技术的应用
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| 关 键 词： | 颅面复合伤 骨折内固定术 |
| 文章编号： | 1001-1781(2002)03-0106-03 |
| 修稿时间： | 2001-05-15 |
Diagnosis and treatment of sever craniofacial compound injure |
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| LIU Haisheng ZHAO Conghai ZHU Dongdong XU Hongjun YANG Zhanquan. Diagnosis and treatment of sever craniofacial compound injure[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2002, 16(3): 106-108 |
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| Authors: | LIU Haisheng ZHAO Conghai ZHU Dongdong XU Hongjun YANG Zhanquan |
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| Affiliation: | Department of Otolaryngology-Head and Neck Surgery, China-Japan Union Hospital of Jilin University, Changchun 130031. |
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| Abstract: | Objective:It is purpose to analysis the diagnosis and treatment of sever craniofacial compound injure. Method:The surgical method of reposition of bone fracture of 21 cases with sever craniofacial compound injure included transfacial wound (9 cases) and transmidfacial approach(4 cases) and craniofacial approach(4 cases) and multi incision subperiosteum tunnel approach(4 cases).Result:In 16 cases which been followed,the function of chew has been recovered.Conclusion:Sever craniofacial compound injures is a complicate emergention. Doctor must master comprehensive classified method of fracture and ability of diagnosis and attach importance to surgical reposition and technique of rigid internal fixation. |
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| Keywords: | Craniofacial compound injures Fracture internal fixation |
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