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颌骨骨折治疗失败48例原因分析

王岳森 克热木·阿巴司 龚忠诚 刘慧

临床误诊误治2016,Vol.29Issue(3):70-73,4.
临床误诊误治2016,Vol.29Issue(3):70-73,4.DOI:10.3969/j.issn.1002-3429.2016.03.024

颌骨骨折治疗失败48例原因分析

Treatment Failure Analysis of 48 Cases of Maxillofacial Fractures

王岳森 1克热木·阿巴司 1龚忠诚 1刘慧1

作者信息

  • 1. 830054 乌鲁木齐,新疆医科大学第一附属医院颌面肿瘤外科 新疆医科大学口腔医学院 新疆维吾尔自治区口腔医学研究所
  • 折叠

摘要

Abstract

Objective To investigate the characteristics of postoperative complications and analyze the cause of the treatment failure of maxillofacial fractures primarily treated in the other hospitals. Methods 48 cases of jaw fracture with prima-ry failure treatment in other hospitals admitted to our hospital during 2010 and 2014 were included, and the cause of failure treat-ment was analyzed. Results In these cases, there were 18 cases with postoperative infection, 13 cases with occlusion disor-ders, 11 cases with limitation of mouth opening, 6 cases with facial deformity and 6 cases with nerve injury. The main causes of the failure of treatment were as follows:①The diagnosis doctor was not a maxillofacial surgeon, insufficient preoperative evalua-tion, inadequate operation, inaccurate reduction;②Improper internal fixation materials, methods and sites, inappropriate stress concentration;③The short-term intermaxillary fixation was neglected;④The poor compliance of patients;⑤Postoperative infec-tion, improper nursing. Conclusion It is important to master the principle and right methods of jaw fracture treatment. Internal fixation materials, methods and sites should be appropriate. The short-term intermaxillary fixation is essential.

关键词

颌骨骨折/治疗失败/手术后并发症

Key words

Maxillofacial fracture/Treatment failure/Postoperative complication

分类

医药卫生

引用本文复制引用

王岳森,克热木·阿巴司,龚忠诚,刘慧..颌骨骨折治疗失败48例原因分析[J].临床误诊误治,2016,29(3):70-73,4.

基金项目

国家自然科学基金(31260229) (31260229)

新疆维吾尔自治区青年科技创新人才培养工程项目(2014721046) (2014721046)

临床误诊误治

OACSTPCD

1002-3429

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