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目的 探讨面中部骨折的治疗时机 ,手术方法以及坚强内固定 (RIF)的应用。 方法 对 1998年12月至 2 0 0 1年 5月 97例面中部骨折住院患者进行回顾性分析 ,根据X线片、CT和三维CT综合评价复位的准确性和稳定性。 结果 除 1例因Medpor材料植入后感染重新手术取出 ,2例术后咬牙合部分紊乱 ,3例有个别牙合干扰外 ,其余伤口愈合良好 ,美观及功能恢复满意 ,手术满意率达 93 .8%。 结论 治疗面中部骨折应根据骨折具体情况设计适当的切口 ,精确复位后行坚强内固定 (RIF) ,此法具稳固性好 ,咬牙合关系稳定、感染率低的优点
Objective To explore the treatment timing, surgical methods and the application of rigid internal fixation (RIF) in the treatment of midfacial fractures. Methods A retrospective analysis was performed on 97 hospitalized patients with midface central fistula from December 1998 to May 2001. The accuracy and stability of the reduction were evaluated according to X-ray, CT and three-dimensional CT. Results In addition to a case of Medpor infection after re-implantation of the material removed, 2 cases of bite occlusion part of the surgery, 3 cases of individual occlusal interference, the rest of the wound healing, aesthetic and functional recovery satisfactory, the surgical satisfaction rate of 93. 8%. Conclusion The treatment of midface fractures should be based on the specific circumstances of fracture design appropriate incision, accurate reset after rigid internal fixation (RIF), this method with good stability, bite occlusal relationship and stability, the advantages of low infection rate