CAJ | 학술논문

目的探讨下睑缘外眦小切口配合口腔前庭沟切口治疗颧上颌骨复合体骨折的临床疗效。方法选取广东省深圳市观澜人民医院2008年6月至2011年6月收治的颧上颌骨骨折患者70例为临床研究对象。随机分为对照组和观察组，每组患者均为35例。其中对照组患者采取口腔前庭沟切口途径内固定治疗颧上颌骨骨折；观察组患者采取口腔前庭沟切口联合下睑缘外眦小切口途径内固定治疗。比较两组患者不同途径内固定治疗颧上颌骨复合体的手术效果。结果观察组患者术后的骨骼生长优良情况和合格率明显高于对照组患者，观察组患者的术后面瘫、面部痉挛、切口炎性反应发生率低于对照组患者，差异有统计学意义（P＜0．05）。结论下睑缘外眦小切口配合口腔前庭沟切口治疗颧上颌骨复合体骨折效果明显优于单纯的口腔前庭沟切口手术，安全高效，不良反应少，值得临床推广。
목적탐토하검연외자소절구배합구강전정구절구치료권상합골복합체골절적림상료효。방법선취광동성심수시관란인민의원2008년6월지2011년6월수치적권상합골골절환자70례위림상연구대상。수궤분위대조조화관찰조，매조환자균위35례。기중대조조환자채취구강전정구절구도경내고정치료권상합골골절；관찰조환자채취구강전정구절구연합하검연외자소절구도경내고정치료。비교량조환자불동도경내고정치료권상합골복합체적수술효과。결과관찰조환자술후적골격생장우량정황화합격솔명현고우대조조환자，관찰조환자적술후면탄、면부경련、절구염성반응발생솔저우대조조환자，차이유통계학의의（P＜0．05）。결론하검연외자소절구배합구강전정구절구치료권상합골복합체골절효과명현우우단순적구강전정구절구수술，안전고효，불량반응소，치득림상추엄。
Objective To evaluate the clinical efficacy of blepharitis under outside canthus small incision with oral vestibular groove incision fixation in the treatment of zygomaticomaxillary complex fractures .Methods The clin-ical data of seventy zygomaticomaxillary complex fracture patients (70 cases) who were in our hospital from June 2010 to June 2011were collected ,they were divided into control group(cases=35) and observation group(cases=35) by random number table .The patients in control group were given oral vestibular groove incision fixation ,the patients in observation group were given blepharitis under outside canthus small incision with oral vestibular groove incision fixation in treatment ,the clinical efficacy of two groups were compared .Results observation group patients postop-erative bone growth quality and qualified rate were significantly higher than that of patients in the control group ,ob-servation group of patients with postoperative facial paralysis ,facial spasm ,incision infection rates lower than that in control group ,the difference was statistically significant (P<0 .05) Conclusion The clinical efficacy of blepharitis under outside canthus small incision with oral vestibular groove incision fixation in the treatment of zygomaticomaxil-lary complex fractures is better than oral vestibular groove incision fixation ,it is safe and less complications ,it is wor-thy to be popularized .