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[目的]探讨坚固内固定术(RIF)和微型钛板内固定术对颌面骨折的临床意义及临床价值。[方法]对2005年4月～2010年4月期间某院收治的颌面部骨折患者97例患者的详细临床资料进行回顾性分析。[结果]本组97例病患术后骨性愈合良号或无假关节形成,其中I期愈合者占92.78%(90例),Ⅱ期愈合者占7.22%(7例)。骨折线对位良好、咬合正常者占90.72%(88例),骨折线对位不良好、咬合关系异常者占9.28%(9例,均为多发性、粉碎性骨折),调合后基本正常,1例发生术后感染。[结论]RIF和微型钛板内固定术对颌面骨折的治疗具有固定效、手术副损伤小、术后并发症少等特点。
[Objective] To investigate the clinical significance and clinical value of rigid internal fixation (RIF) and mini-titanium plate fixation in maxillofacial fractures. [Methods] The clinical data of 97 patients with maxillofacial fractures in a hospital from April 2005 to April 2010 were retrospectively analyzed. [Results] The postoperative 97 cases of patients with bony union or non-joint formation, of which 92.78% (92 cases), the second-stage healing accounted for 7.22% (7 cases). The alignment of the fracture line was good, and the normal occlusion was 90.72% (88 cases). The fracture line alignment was not good and the occlusion relationship was abnormal (9.28%) (all 9 cases were multiple and comminuted fractures) , 1 case of postoperative infection. [Conclusion] The treatment of maxillofacial fractures with RIF and mini-plate internal fixation has the advantages of fixed effect, minor surgical injury and few postoperative complications.