摘 要
口腔颌面部骨折是临床常见的创伤类型，其治疗效果直接关系到患者的生理功能和美观。为提高治疗效果并优化功能恢复评估体系，本研究聚焦于口腔颌面部骨折的手术治疗方法及其术后功能恢复评估。通过对120例口腔颌面部骨折患者进行回顾性分析，采用计算机辅助设计与制造技术（CAD/CAM）结合钛板内固定术式，以期实现精准复位与稳定固定。结果显示，应用CAD/CAM技术的病例在咬合关系、面部对称性及神经功能恢复方面显著优于传统方法，平均住院时间缩短3.5天，术后并发症发生率降低至8.3%。创新点在于将数字化技术引入手术规划，通过三维重建模型指导个性化治疗方案制定，提高了手术精确度和安全性。此外，建立了一套基于客观指标的功能恢复评估体系，涵盖咀嚼效率、语言清晰度、面部表情等多维度评价标准，为临床实践提供了科学依据。该研究不仅验证了新技术的有效性，还为后续研究奠定了基础，具有重要的临床应用价值和社会意义。
关键词：口腔颌面部骨折；CAD/CAM技术；钛板内固定术
Abstract
Oral and maxillofacial fractures are a common type of clinical trauma, with treatment outcomes directly impacting patients' physiological functions and aesthetics. To improve therapeutic efficacy and optimize the functional recovery evaluation system, this study focused on surgical treatment methods for oral and maxillofacial fractures and postoperative functional recovery assessment. A retrospective analysis was conducted on 120 patients with oral and maxillofacial fractures, utilizing computer-aided design and manufacturing (CAD/CAM) technology combined with titanium plate internal fixation to achieve precise reduction and stable fixation. The results demonstrated that cases using CAD/CAM technology showed significant superiority in occlusal relationship, facial symmetry, and neurological function recovery compared to traditional methods, with an average hospital stay shortened by 3.5 days and the postoperative complication rate reduced to 8.3%. The innovation lies in introducing digital technology into surgical planning, guiding personalized treatment schemes through three-dimensional reconstruction models, thereby enhancing surgical accuracy and safety. Additionally, an ob jective indicator-based functional recovery evaluation system was established, encompassing multidimensional evaluation criteria such as masticatory efficiency, speech clarity, and facial ex pressions, providing a scientific basis for clinical practice. This study not only validated the effectiveness of new technologies but also laid a foundation for subsequent research, possessing significant clinical application value and social implications.
Keywords：Oral And Maxillofacial Fractures；Cad/Cam Technology；Titanium Plate Internal Fixation
目 录
引 言 1
第一章 口腔颌面部骨折概述 2
1.1 骨折类型与解剖特点 2
1.2 致伤原因分析 2
1.3 临床诊断方法 3
第二章 手术治疗方案选择 4
2.1 手术适应症评估 4
2.2 内固定技术应用 4
2.3 手术入路选择 5
第三章 围手术期管理措施 6
3.1 术前准备要点 6
3.2 术后护理策略 6
3.3 并发症预防处理 7
第四章 功能恢复评估体系 8
4.1 恢复期康复训练 8
4.2 神经功能评价 8
4.3 长期随访观察 9
结 论 11
参考文献 12
致 谢 13
口腔颌面部骨折是临床常见的创伤类型，其治疗效果直接关系到患者的生理功能和美观。为提高治疗效果并优化功能恢复评估体系，本研究聚焦于口腔颌面部骨折的手术治疗方法及其术后功能恢复评估。通过对120例口腔颌面部骨折患者进行回顾性分析，采用计算机辅助设计与制造技术（CAD/CAM）结合钛板内固定术式，以期实现精准复位与稳定固定。结果显示，应用CAD/CAM技术的病例在咬合关系、面部对称性及神经功能恢复方面显著优于传统方法，平均住院时间缩短3.5天，术后并发症发生率降低至8.3%。创新点在于将数字化技术引入手术规划，通过三维重建模型指导个性化治疗方案制定，提高了手术精确度和安全性。此外，建立了一套基于客观指标的功能恢复评估体系，涵盖咀嚼效率、语言清晰度、面部表情等多维度评价标准，为临床实践提供了科学依据。该研究不仅验证了新技术的有效性，还为后续研究奠定了基础，具有重要的临床应用价值和社会意义。
关键词：口腔颌面部骨折；CAD/CAM技术；钛板内固定术
Abstract
Oral and maxillofacial fractures are a common type of clinical trauma, with treatment outcomes directly impacting patients' physiological functions and aesthetics. To improve therapeutic efficacy and optimize the functional recovery evaluation system, this study focused on surgical treatment methods for oral and maxillofacial fractures and postoperative functional recovery assessment. A retrospective analysis was conducted on 120 patients with oral and maxillofacial fractures, utilizing computer-aided design and manufacturing (CAD/CAM) technology combined with titanium plate internal fixation to achieve precise reduction and stable fixation. The results demonstrated that cases using CAD/CAM technology showed significant superiority in occlusal relationship, facial symmetry, and neurological function recovery compared to traditional methods, with an average hospital stay shortened by 3.5 days and the postoperative complication rate reduced to 8.3%. The innovation lies in introducing digital technology into surgical planning, guiding personalized treatment schemes through three-dimensional reconstruction models, thereby enhancing surgical accuracy and safety. Additionally, an ob jective indicator-based functional recovery evaluation system was established, encompassing multidimensional evaluation criteria such as masticatory efficiency, speech clarity, and facial ex pressions, providing a scientific basis for clinical practice. This study not only validated the effectiveness of new technologies but also laid a foundation for subsequent research, possessing significant clinical application value and social implications.
Keywords：Oral And Maxillofacial Fractures；Cad/Cam Technology；Titanium Plate Internal Fixation
目 录
引 言 1
第一章 口腔颌面部骨折概述 2
1.1 骨折类型与解剖特点 2
1.2 致伤原因分析 2
1.3 临床诊断方法 3
第二章 手术治疗方案选择 4
2.1 手术适应症评估 4
2.2 内固定技术应用 4
2.3 手术入路选择 5
第三章 围手术期管理措施 6
3.1 术前准备要点 6
3.2 术后护理策略 6
3.3 并发症预防处理 7
第四章 功能恢复评估体系 8
4.1 恢复期康复训练 8
4.2 神经功能评价 8
4.3 长期随访观察 9
结 论 11
参考文献 12
致 谢 13
