《Journal of Oral and Maxillofacial Surgery》 ›› 2014, Vol. 24 ›› Issue (3): 200-. doi: 10.3969/j.issn.1005-4979.2014.03.008

• Clinical Study • Previous Articles     Next Articles

Analysis of Infections related to the Reduction of Mandibular Fracture

LI Dai-qing, ZHAO Wan-ping, TANG Jia-jun, YANG Lei   

  1. Department of  Stomatology, China Armed Force Zhejiang General Hospital, Jiaxing 314000, Zhejiang Province, China
  • Online:2014-05-28 Published:2015-06-24

下颌骨骨折坚固内固定术后感染原因分析及防治初探

李代庆,   赵皖平,   汤佳君,   杨   磊   

  1. 武警浙江省总队医院口腔科,浙江   嘉兴   314000
  • 通讯作者: 李代庆,住院医师. E-mail:lidaiqing2015@163.com
  • 作者简介:李代庆(1981—),男,重庆梁平人,住院医师,硕士.

Abstract: Objective: To analyze the causes of the infection complication after rigid internal fixation in mandibular fractures. Methods: 72 patients who suffered mandibular fractures after rigid internal fixation surgery from June 2010 to June 2013 were retrospectively reviewed. Results: In the 72 patients, 11 cases (15%) suffered by infection complications. In most cases, infection sites occurred in mandibular angle most with a complicated fractures and/or comminuted mandibular fractures.  6 patients were cured by vigorous treatments, 5 patients were cured after removal of the internal fixation plates. Conclusion: Complicated or comminuted fracture of the mandibular angle may possibly complicated with postoperative infections.

Key words: mandibular fracture, rigid internal fixation, infection, complication

摘要: 目的:分析下颌骨骨折内固定术后感染的原因,为提高临床治疗效果提供依据。方法:分析我院自2010-06—2013-06行下颌骨骨折坚固内固定术的72例临床资料;对感染病例的发生原因及防治措施进行总结。结果:72例患者,经过术后观察及3个月的随访,11例出现术后感染,感染的发生率为15%。感染的发生部位以下颌角居多,骨折的形式以复杂骨折及粉碎性骨折居多,其中6例经积极治疗及对症处理后痊愈,5例取出内固定物后痊愈。结论:下颌骨坚固内固定术后发生感染的原因较多,诸如骨折的原因和方式、骨折的部位和形式、手术方式的选择、术中操作不当、未达到解剖复位、接骨板使用不规范等。注重手术技巧,并针对继发感染的病因进行积极的预防与处理,能有效降低术后感染的发生率。

关键词: 下颌骨骨折;  , 坚固内固定;  , 感染;  , 并发症

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