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目的:评价青少年下颌骨含牙骨段骨折保守治疗的临床效果,提出相应的治疗原则及适应证。方法:对上海交通大学医学院附属第九人民医院口腔颌面外科2008—2012年收治的住院非手术治疗的青少年下颌骨含牙骨段骨折病例进行追踪随访,根据患者的不同年龄阶段及骨折的不同分类进行分组,获取治疗前后影像资料,比较治疗前、后咬合关系的变化,评价治疗效果。随访时间6个月～3a。结果:44例患者中,保守治疗17例,5例失访,随访率为71.6%。影像学检查骨折均愈合良好,患儿咬合关系恢复正常,未发现下颌骨发育畸形。结论:青少年含牙骨段骨折保守治疗经临床初步应用证实是有效可行的,板环下颌钢丝固定是一种较为经济有效的固定方式。
Objective: To evaluate the clinical effect of conservative treatment of mandibular fractures in adolescents, and to put forward the corresponding treatment principles and indications. Methods: Follow-up and follow-up of the mandibular and non-surgical treatment of adolescent mandibular fractures admitted to the Department of Oral and Maxillofacial Surgery, Ninth People’s Hospital Affiliated to Shanghai Jiaotong University School of Medicine from 2008 to 2012 were conducted. According to the patients’ age and fracture Different groups were grouped, before and after treatment to obtain image data, compared before and after treatment of occlusal changes, evaluate the therapeutic effect. Follow-up time of 6 months ~ 3a. Results: Of the 44 patients, 17 were conservatively treated and 5 were lost. The follow-up rate was 71.6%. Radiographic examination of fracture healed well, the occlusion of children returned to normal, no development of mandibular deformity. CONCLUSION: Conservative treatment of adolescent with fractures of the bone segment has proved to be effective and feasible through clinical preliminary application. It is a more economical and effective way to fix the mandibular wire of the poplar plate.