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眶区复杂骨折及相邻颅颌面骨骨折所致畸形的修复

Restoration of deformities caused by complex fracture of the orbit region and adjacent cranio-maxillofacial fracture

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【作者】 王玉新贾广学杨鸣良韩思源邓春富卢利

【Author】 WANG Yu-xin *,JIA Guang-xue,YANG Ming-liang,HAN Si-yuan,DENG Chun-fu, LU Li. *Department of Oral and Maxillofacial Surgery,First Hospital,China Medical University,Shenyang 110001,China

【机构】 中国医科大学第一临床学院口腔颌面外科中国医科大学第一临床学院眼科中国医科大学第一临床学院口腔颌面外科 110001沈阳110001沈阳

【摘要】 目的 不断完善眶区复杂骨折及相邻颅面骨折的诊断与治疗。方法 对 73例眶区复杂骨折及相邻颅面骨折行CT扫描 ,部分三维CT重建 ,对手术修复方法进行比较。结果 CT扫描诊断此类骨折阳性率达 10 0 %。手术治疗使患者功能及外形恢复良好。结论 CT扫描使爆裂性眶骨骨折及相邻颅面骨骨折诊断定位明确 ,为临床手术提供依据。手术复位、合理应用固定材料是修复这类复杂骨折的可靠方法。

【Abstract】 Objective In order to improve the diagnosis and treatment of the complex fracture of the orbit region and adjacent cranio-maxillofacial fracture. Methods 73 cases with blowout fracture of the orbit and adjacent cranio-maxillofacial fracture in recent years were retrospectively analyzed and comparied with different methods of treatment. All cases had undertaken CT examinations. Results The positive rate of the CT examinations with blowout fracture of the orbit and adjacent cranio-maxillofacial region were 100%. Operating repositioning, rigid fixation and artificial material placement were used to treat this kind of deformities. Conclusions With the progress of modern photographic methods, blowout fracture of the orbit and adjacent cranio-maxillofacial fracture can be diagnosed clearly and help the operation procedure. Operations with reduction, rigid fixation and filling materials can be used to restore this kind of fracture and appearance.

  • 【文献出处】 中华口腔医学杂志 ,Chinese Journal of Stomatology , 编辑部邮箱 ,2003年06期
  • 【分类号】R782.4
  • 【被引频次】5
  • 【下载频次】76
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