CAJ | 학술논문

目的：探讨钛板坚固内固定术治疗颌骨骨折的临床效果。方法选择2009年1月至2012年6月广东医学院附属医院收治的46例颌骨骨折患者为研究对象，将其分为对照组和观察组各23例，对照组采用上、下牙弓夹板固定治疗，观察组采用钛板坚固内固定术治疗。比较两组患者的治疗有效率、延迟愈合率、口腔功能恢复情况、抑郁状态量表（SDS）和焦虑自评量表（SAS）评分的差异。结果观察组患者治疗有效率为95．7％，明显高于对照组的65．2％，差异有统计学意义（P＜0．05）；观察组延迟愈合率明显低于对照组；口腔功能恢复情况、SDS和SAS评分均优于对照组，差异有统计学意义（P＜0．05）。结论钛板坚固内固定术治疗颌骨骨折疗效显著，有助于患者口腔功能的恢复，减轻负性心理，值得临床推广使用。
목적：탐토태판견고내고정술치료합골골절적림상효과。방법선택2009년1월지2012년6월엄동의학원부속의원수치적46례합골골절환자위연구대상，장기분위대조조화관찰조각23례，대조조채용상、하아궁협판고정치료，관찰조채용태판견고내고정술치료。비교량조환자적치료유효솔、연지유합솔、구강공능회복정황、억욱상태량표（SDS）화초필자평량표（SAS）평분적차이。결과관찰조환자치료유효솔위95．7％，명현고우대조조적65．2％，차이유통계학의의（P＜0．05）；관찰조연지유합솔명현저우대조조；구강공능회복정황、SDS화SAS평분균우우대조조，차이유통계학의의（P＜0．05）。결론태판견고내고정술치료합골골절료효현저，유조우환자구강공능적회복，감경부성심리，치득림상추엄사용。
Objective To investigate the effect of rugged titanium plate fixation in the treatment of mandibular fracture .Methods A total of 46 cases with mandibular facture in Affiliated Hospital of Gungdong Medical Universi-ty were enrolled and divided into control group (23 cases) ,receiving upper and lower dental arch splint ,and experi-mental group (23 cases) ,receiving rugged titanium plate fixation .The effective rate ,delayed healing rate ,oral func-tion recovery ,self-rating depression scale (SDS) and self-rating anxiety scale (SAS) score of the two groups were compared .Results The effective rate of experimental group was 95 .7% ,which was significantly higher than that of control group (65 .2% ,P<0 .05) .The delayed healing rate of experimental group was significantly lower than con-trol group (P<0 .05) .The oral function recovery ,SDS and SAS score of experimental group were better than control group (P<0 .05) .Conclusion Rugged titanium plate fixation for the treatment of mandibular fractures might be sig-nificantly effective ,which could promote oral function recovery and reduce negative psychological ,and worthy of widely clinical usage .