华西口腔医学杂志
華西口腔醫學雜誌
화서구강의학잡지
WEST CHINA JOURNAL OF STOMATOLOGY
2014年
1期
51-53
,共3页
刘家武%俞辉明%邱长乐%刘磊
劉傢武%俞輝明%邱長樂%劉磊
류가무%유휘명%구장악%류뢰
颅颌面骨折%伴发伤%同期手术%分期手术
顱頜麵骨摺%伴髮傷%同期手術%分期手術
로합면골절%반발상%동기수술%분기수술
craniomaxillofacial fracture%combined with other injury%simultaneous operation%staging operation
目的： 比较颅颌面部骨折有全身伴发伤患者同期手术及分期手术的治疗效果。方法 将颅颌面部骨折伴有其他部位创伤患者50例，随机分为同期手术组（28例）和分期手术组（22例）。同期手术组采取相关科室联合同期为患者行颌面部骨折复位内固定术及其他部位手术，分期手术组在伴发伤治疗结束后再进行颌面部骨折复位内固定术。对2组的治疗效果及并发症等进行比较分析。结果 同期手术组术后咬合正常26例，张口度（34.5±3.7）mm，术后颌面部硬组织对称性及外形恢复良好，1例因内固定感染取出接骨板。分期手术组术后咬合正常14例，张口度（28.5±3.5）mm，术后颌面部硬组织对称性及外形恢复较差，5例因内固定感染取出接骨板。2组的咬合关系、张口度、术后并发症、住院时间等之间的差异均有统计学意义（P<0.05），同期手术组的治疗效果优于分期手术组。结论 在患者全身条件许可的情况下，对颅颌面部骨折伴有其他部位伤的患者应尽量采取多学科同期手术治疗。
目的： 比較顱頜麵部骨摺有全身伴髮傷患者同期手術及分期手術的治療效果。方法 將顱頜麵部骨摺伴有其他部位創傷患者50例，隨機分為同期手術組（28例）和分期手術組（22例）。同期手術組採取相關科室聯閤同期為患者行頜麵部骨摺複位內固定術及其他部位手術，分期手術組在伴髮傷治療結束後再進行頜麵部骨摺複位內固定術。對2組的治療效果及併髮癥等進行比較分析。結果 同期手術組術後咬閤正常26例，張口度（34.5±3.7）mm，術後頜麵部硬組織對稱性及外形恢複良好，1例因內固定感染取齣接骨闆。分期手術組術後咬閤正常14例，張口度（28.5±3.5）mm，術後頜麵部硬組織對稱性及外形恢複較差，5例因內固定感染取齣接骨闆。2組的咬閤關繫、張口度、術後併髮癥、住院時間等之間的差異均有統計學意義（P<0.05），同期手術組的治療效果優于分期手術組。結論 在患者全身條件許可的情況下，對顱頜麵部骨摺伴有其他部位傷的患者應儘量採取多學科同期手術治療。
목적： 비교로합면부골절유전신반발상환자동기수술급분기수술적치료효과。방법 장로합면부골절반유기타부위창상환자50례，수궤분위동기수술조（28례）화분기수술조（22례）。동기수술조채취상관과실연합동기위환자행합면부골절복위내고정술급기타부위수술，분기수술조재반발상치료결속후재진행합면부골절복위내고정술。대2조적치료효과급병발증등진행비교분석。결과 동기수술조술후교합정상26례，장구도（34.5±3.7）mm，술후합면부경조직대칭성급외형회복량호，1례인내고정감염취출접골판。분기수술조술후교합정상14례，장구도（28.5±3.5）mm，술후합면부경조직대칭성급외형회복교차，5례인내고정감염취출접골판。2조적교합관계、장구도、술후병발증、주원시간등지간적차이균유통계학의의（P<0.05），동기수술조적치료효과우우분기수술조。결론 재환자전신조건허가적정황하，대로합면부골절반유기타부위상적환자응진량채취다학과동기수술치료。
Objective This study aimed to compare the treatment effects of simultaneous surgical treatment and stage ope-ration for patients with craniomaxillofacial fracture combined with other injuries. Methods Fifty patients with maxillofacial fractures combined with other injuries were chosen and divided into simultaneous (28 patients) and staging (22 patients) ope-ration groups. In simultaneous operation group, maxillofacial fracture reduction, internal fixation, and other parts of the surgery were simultaneously operated by relevant departments jointly. In the staging operation group, maxillofacial fracture reduction and internal fixation were performed after treatment of other injuries. Data on the treatment efficacy and associated injuries of the two groups were statistically analyzed. Results In the simultaneous operation group, 26 patients had good occluding relation, the maximum mouth opening was (34.5±3.7) mm, the symmetry and shape of hard tissues recovered well, and the bone plate of one patient was removed because of internal fixation infection. In the staging operation group, 14 patients had good occluding relation, the maximum mouth opening was (28.5±3.5) mm, the symmetry and shape of hard tissues poorly recovered, and the bone plates of 5 patients were removed because of internal fixation infection. Statistical significance was determined among occluding relation, maximum mouth opening, postoperative complications, and length of stay of the two groups (P<0.05). Treatment of the simultaneous operation group was more effective than that of the staging operation group. Conclusion When a patient’s condition is relatively stable, simultaneous surgical treatment of multiple specialties should be conducted to treat craniomaxillofacial fracture combined with other injuries.
