摘要： 目的：总结颧骨复合体骨折复位术的手术路径和效果。方法:对2005-11—2011-05在我院颌面外科救治的资料完整的76例颧骨复合体骨折手术病例的手术路径及治疗效果进行回顾性分析。在76例患者中, 有4例颞部切口，有2例前庭沟切口，有26例单纯采用头皮冠状切口，有18例采取头皮冠状切口+下睑缘切口，有9例采取头皮冠状切口＋结膜囊切口，有5例采取头皮冠状切口+口腔前庭沟切口, 有12例采取头皮冠状切口+口腔前庭切口+下睑缘切口。术后随访平均3年(6～48个月)。结果: 76例患者中随访3年的有61例(80.2% ),治疗效果Ⅰ级22例(占36.0% );Ⅱ级35例(占57.3% ); Ⅲ级4例(占6.3% )。55例（55/61, 90.1% )患者取得了良好的治疗效果。结论: 冠状切口(必要时附加小切口)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。

关键词: 颧骨复合体,  ,  , 骨折,  ,  , 手术路径

Abstract: Objective:  To  summarize the zygomatic complex fracture operation path  and their operative effects. Methods: From 2005-11 to 2011-05, in our hospital and maxillofacial surgery department , 76 patients suffered zygomatic complex fractures with surgical reduction were retrospectively analyzed. The selection of incision path were as follows:  4 cases received temporal incision, 2 cases with vestibular sulcus incision, 26 cases with single  coronal incision, 18 cases scalp coronal incision + subcilliary incision, 9 cases coronal incision + conjunctival incision, 5 cases scalp coronal incision + oral vestibule incision, 12 cases  scalp coronal incision + oral vestibular incision + subciliary incision. Postoperative follow-up period was about 3 years (6～48 months ). Results:  61 cases (80.2% ) completed followed up period. The treatment effect of grade Ⅰ was observed in 22 cases (36%), grade Ⅱ in 35 cases (57.3%), grade Ⅲ in 4 cases (6.3%).  55 cases (55/61, 90.1%) patients achieved good therapeutic effects. Conclusion: Coronary incision (addition with small incision if necessary),  and  small local incision alone may be indicated in surgical reduction and achieve  satisfactory results.

Key words: zygomatic complex fracture, fracture, operation route

中图分类号: 

• R782.4