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Foley加压水囊在治疗颧弓骨折中的临床应用
引用本文:张杰,孟箭,郑浩,李志萍. Foley加压水囊在治疗颧弓骨折中的临床应用[J]. 口腔医学, 2020, 40(1): 48-51
作者姓名:张杰  孟箭  郑浩  李志萍
作者单位:徐州市中心医院口腔科,江苏徐州 221009;徐州市中心医院口腔科,江苏徐州 221009;徐州市中心医院口腔科,江苏徐州 221009;徐州市中心医院口腔科,江苏徐州 221009
基金项目:徐州市科学技术局应用基础研究计划(KH17036)。
摘    要:目的探讨Foley加压水囊在颧弓骨折手术中的应用,评价并分析其临床优势。方法对37例颧弓骨折患者选择口内前庭小切口,并采用Foley加压水囊支撑填塞固定,不需额外使用钛板行坚强内固定术,之后从患者的面部对称性、开口度等方面评价此法的优缺点。结果 37例患者采用Foley加压水囊治疗颧弓骨折的术后成形效果好,面部基本对称,张口度基本正常,副反应轻微,治愈率达97.3%,且患者术后取出水囊方便,不会造成再次创伤。结论采用Foley加压水囊治疗颧弓骨折是一种新颖有效的治疗手段,具有术后效果显著、手术操作简单、患者满意度高、经济实用的特点。

关 键 词:Foley加压水囊  颧弓骨折  填塞固定

The clinical application of Foley pressurized water sac in zygomatic fractures
ZHANG Jie,MENG Jian,ZHENG Hao,LI Zhiping. The clinical application of Foley pressurized water sac in zygomatic fractures[J]. Stomatology, 2020, 40(1): 48-51
Authors:ZHANG Jie  MENG Jian  ZHENG Hao  LI Zhiping
Affiliation:(Department of Stomatology,Xuzhou Central Hospital,Xuzhou 221009,China)
Abstract:Objective To investigate the application of Foley pressurized water sac in the operation of zygomatic arch fractures, and to evaluate and analyze its clinical advantages. Methods A total of 37 patients with zygomatic arch fractures were treated with a small incision in the vestibule and fixed with Foley’s pressurized water sac support. There was no need to operate fixation by additional titanium plate. The advantages and disadvantages of this method were evaluated by the patient’s facial symmetry and opening degree. Results In 37 patients, Foley pressurized water sac was used to treat the zygomatic arch fracture with good postoperative shaping effect and with basic facial symmetry, basically normal mouth opening, slight side reaction, and a cure rate of 97.3%. In addition, it was convenient for the patients to remove the water sac after surgery, and no further trauma was caused. Conclusion The treatment of zygomatic arch fracture with Foley pressurized water sac is a novel and effective treatment method. It has the characteristics of significant postoperative effects, simple operation, high patients’ satisfaction and economy and practice.
Keywords:Foley pressurized water sac  zygomatic fractures  plugging fixation
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