中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
29期
52-54
,共3页
下颌骨角部骨折%口外入路%口内入路%对比
下頜骨角部骨摺%口外入路%口內入路%對比
하합골각부골절%구외입로%구내입로%대비
Mandibular angle fracture%Extraoral approach%Intraoral approach%Contrast
目的:比较不同入路内固定治疗单纯下颌骨角部骨折临床效果。方法:选取2012年1月-2014年2月在本院口腔科择期行手术治疗的单纯下颌骨角部骨折患者48例,分为口内入路组(n=26)和口外入路组(n=22),口内入路组采取应用transbuccal trochar器材口内入路切开复位内固定治疗,口外入路组采取口外入路切口复位内固定治疗,记录两组患者手术操作时间、骨折愈合情况,术后3个月对患者进行复查,比较两组患者术后张口度和咬合关系,以及并发症情况。结果:口内入路组患者手术时间为(53.7±10.3)min,显著少于口外入路组,差异具有统计学意义(t=2.923,P=0.003);术后两组患者张口度均较术前有明显改善,差异均具有统计学意义(P<0.05),术后两组患者张口度相比差异无统计学意义(P>0.05),口内入路组患者术后面瘫和面部瘢痕发生率均低于口外入路组,差异均具有统计学意义(P<0.05)。结论:应用transbuccal trochar器材口内入路切开复位内固定治疗单纯下颌骨角部骨折可以减少术后并发症的发生,改善患者面部美观,安全有效。
目的:比較不同入路內固定治療單純下頜骨角部骨摺臨床效果。方法:選取2012年1月-2014年2月在本院口腔科擇期行手術治療的單純下頜骨角部骨摺患者48例,分為口內入路組(n=26)和口外入路組(n=22),口內入路組採取應用transbuccal trochar器材口內入路切開複位內固定治療,口外入路組採取口外入路切口複位內固定治療,記錄兩組患者手術操作時間、骨摺愈閤情況,術後3箇月對患者進行複查,比較兩組患者術後張口度和咬閤關繫,以及併髮癥情況。結果:口內入路組患者手術時間為(53.7±10.3)min,顯著少于口外入路組,差異具有統計學意義(t=2.923,P=0.003);術後兩組患者張口度均較術前有明顯改善,差異均具有統計學意義(P<0.05),術後兩組患者張口度相比差異無統計學意義(P>0.05),口內入路組患者術後麵癱和麵部瘢痕髮生率均低于口外入路組,差異均具有統計學意義(P<0.05)。結論:應用transbuccal trochar器材口內入路切開複位內固定治療單純下頜骨角部骨摺可以減少術後併髮癥的髮生,改善患者麵部美觀,安全有效。
목적:비교불동입로내고정치료단순하합골각부골절림상효과。방법:선취2012년1월-2014년2월재본원구강과택기행수술치료적단순하합골각부골절환자48례,분위구내입로조(n=26)화구외입로조(n=22),구내입로조채취응용transbuccal trochar기재구내입로절개복위내고정치료,구외입로조채취구외입로절구복위내고정치료,기록량조환자수술조작시간、골절유합정황,술후3개월대환자진행복사,비교량조환자술후장구도화교합관계,이급병발증정황。결과:구내입로조환자수술시간위(53.7±10.3)min,현저소우구외입로조,차이구유통계학의의(t=2.923,P=0.003);술후량조환자장구도균교술전유명현개선,차이균구유통계학의의(P<0.05),술후량조환자장구도상비차이무통계학의의(P>0.05),구내입로조환자술후면탄화면부반흔발생솔균저우구외입로조,차이균구유통계학의의(P<0.05)。결론:응용transbuccal trochar기재구내입로절개복위내고정치료단순하합골각부골절가이감소술후병발증적발생,개선환자면부미관,안전유효。
Objective:To compare clinical effect of different approaches fixation of simple mandibular angle fracture. Method:48 patients with alone mandibular angle fracture were selected from January 2012 to February 2014 in our hospital dentistry,and divided into intraoral approach group(n=26)and extraoral approach group(n=22),intraoral approach taken by the group within the application transbuccal trochar road equipment mouth open reduction and internal fixation,extraoral approach taken by the group extraoral incision approach fixation,surgical operation time,fracture healing were recorded after 3 months,mouth opening and occlusal relationships,and complications were compared. Result:Intraoral approach surgery group time was(53.7±10.3)min,significantly higher than the extraoral approach group,the difference was statistically significant(t=2.923,P=0.003).Zhang degree after two groups of patients before surgery significantly improved compared the differences were statistically significant(P<0.05),after the two groups of patients Zhang heterozygosity was no significant difference compared(P>0.05),in patients undergoing intraoral approach group behind paralysis and facial scars were lower than the estuary approach group,the differences were statistically significant(P<0.05). Conclusion:Application transbuccal road within trochar equipment mouth open reduction and internal fixation of mandibular angle fractures alone can reduce the incidence of postoperative complications and improve the patient’s facial appearance,safe and effective.