生物可吸收性微型接骨板治疗颌面骨折的疗效观察

Clinical efficacy of bioabsorbable miniplates in the treatment of maxillofacial fractures

摘要:

目的：总结生物可吸接骨板在颌面部骨折中的临床效果及不良反应。方法：43例颌面部骨折应用生物可吸收微型接骨板做坚强内固定治疗，随访3个月到2年，进行临床总结分析。结果：41例患者术后均达到骨折的一期愈合，面型恢复理想，咬合关系良好，1例出现无菌性积液，经3周冲洗换药后伤口愈合，1例出现可吸收板外露，经多次少量磨除外露可吸收板后黏膜组织愈合。结论：生物可吸收接骨板是治疗颌面部骨折中合适的内固定材料。

Abstract:

Objective：To summarize adverse reactions and clinical effects of bioabsorbable miniplates in the treatment of maxillofacial fractures. Methods：Clinical data of 43 patients with maxillofacial fracture using biodegradable materials to do rigid internal fixation were reviewed and analyzed. All patients were followed for 3 months to 2 years. Results：Totally 41 patients received good recovery after treatment，with good occlusal relationship. One case of aseptic effusion was observed；the wound was healed after 3 weeks of irri－gating and dressing. Absorbable plate exposure was observed in one case；mucosa tissue was healed after several times of grinding exposed absorbable plate. Conclusion：Bioabsorbable plate is the ideal material in the treatment of maxillofacial fractures.