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颧骨复合体骨折的手术治疗
引用本文:尹林,张继生,卜寿山,许扬. 颧骨复合体骨折的手术治疗[J]. 江苏医药, 2006, 32(11): 1020-1021
作者姓名:尹林  张继生  卜寿山  许扬
作者单位:210029,南京医科大学第一附属医院口腔科;210029,南京医科大学第一附属医院口腔科;210029,南京医科大学第一附属医院口腔科;210029,南京医科大学第一附属医院口腔科
摘    要:目的探索颧骨复合体骨折手术治疗的入路方法和内固定部位。方法回顾性分析手术治疗121例颧骨复合体骨折病人资料,按三级标准评价治疗效果。结果甲级95例,占78.51%;乙级21例,占17.36%;丙级5例,占4.13%。结论颧骨复合体骨折创伤大,伤情重,冠状切口为手术复位内固定一个较好的手术路径,暴露良好、复位精确。固定部位应根据骨折移位情况而定。

关 键 词:颧骨复合体  骨折  手术治疗
收稿时间:2006-07-10
修稿时间:2006-07-10

Surgical treatment of zygomatic complex fracture
YIN Lin , ZHANG Jisheng , BU Shoushan ,et al.. Surgical treatment of zygomatic complex fracture[J]. Jiangsu Medical Journal, 2006, 32(11): 1020-1021
Authors:YIN Lin    ZHANG Jisheng    BU Shoushan   et al.
Affiliation:Department of Stomatology , First Affiliated Hospital, Nanjing Medical University , Nanjing 210029, CHINA
Abstract:Objective To explore the route and location of soft tissue incision and rigid internal fixation in the surgical treatment of zygomatic complex fracture.Methods One hundred and twenty-one cases with zygomatic complex fracture were retrospectively analyzed and the outcomes were evaluated with three grades. Results The percentage of grade A was 77.88%(81/121),of grade B 17.31%(18/121)and of grade C 4.81%(5/121).Conclusion Coronary notches in the skull has the advantages of good exposure, precise removal of the block and good symmetry of both sides.The selection of fixation location depends on dislocation of the fracture.
Keywords:Zygomatic complex   Fracture   Surgical treatment
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