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目的探讨全面部骨折各种手术复位径路的可行性及优缺点。方法对2002—2009年在宿州市立医院口腔颌面外科救治的资料完整的69例全面部骨折手术病例复位手术径路进行回顾性分析。结果69例患者中,有47例采用了头皮冠状切口+小切口,22例单纯采取局部小切口。术后随访平均6个月,患者在功能上皆取得了良好的治疗效果,并发症表现各有不同。结论冠状切口+小切口和单纯局部小切口在不同适应证中均可获得满意的治疗效果,应进一步研究如何减少冠状切口的并发症和如何应用微创切口对全面部骨折进行良好复位。
Objective To investigate the feasibility, advantages and disadvantages of various surgical reduction paths of total fractures. Methods A retrospective analysis was performed on 69 cases of complete surgeries in the Department of Oral and Maxillofacial Surgery, Suzhou Municipal Hospital from 2002 to 2009. Results Of the 69 patients, 47 cases were treated with scalp coronal incision + small incision, and 22 cases were treated with small local incision alone. All patients were followed up for an average of 6 months. All patients achieved good therapeutic effects in terms of function, and complications were different. Conclusions Coronal incision + small incision and simple local incision can obtain satisfactory curative effect in different indications. Further study should be conducted on how to reduce the complications of coronal incision and how to use the minimally invasive incision to make a good reduction of the fracture.