CAJ | 학술논문

目的：观察头皮冠状切口不同入路治疗颧骨复合体的临床疗效及并发症。方法选择120例颧骨复合体骨折的患者，随机分为两组，每组60例。实验组采用颞深筋膜下入路，对照组采用颞深筋膜上入路，治疗后对比观察疗效及并发症情况。结果术后1周，实验组的头皮下血肿发生率明显低于对照组（ P＜0．05），而术区麻木、疼痛或感觉异常、颞窝凹陷、头皮膜状瘢痕等并发症的发生率在两组间无明显差异（P＞0．05）。术后6月复查时，两组患者的疗效评级情况间无明显差异（P＞0．05），实验组的面神经损伤发生率明显低于对照组（P＜0．05），其余并发症的发生率在两组间无明显异常（P＞0．05）。结论冠状切口入路中，经颞深筋膜下分离探查，是安全可靠的临床路径。
목적：관찰두피관상절구불동입로치료권골복합체적림상료효급병발증。방법선택120례권골복합체골절적환자，수궤분위량조，매조60례。실험조채용섭심근막하입로，대조조채용섭심근막상입로，치료후대비관찰료효급병발증정황。결과술후1주，실험조적두피하혈종발생솔명현저우대조조（ P＜0．05），이술구마목、동통혹감각이상、섭와요함、두피막상반흔등병발증적발생솔재량조간무명현차이（P＞0．05）。술후6월복사시，량조환자적료효평급정황간무명현차이（P＞0．05），실험조적면신경손상발생솔명현저우대조조（P＜0．05），기여병발증적발생솔재량조간무명현이상（P＞0．05）。결론관상절구입로중，경섭심근막하분리탐사，시안전가고적림상로경。
Objective Aimed to analyze the clinical efficacy of treating zygomatic complex fracture through different approach from scalp coronal incision and the complications.Methods The prospective research was based on 120 cases, who have had operations of coronal incision, because of zygomatic complex fracture ( ZCF) .Randomly, patients were divided into two groups.In the study group, the approach from coronal incision was under the deep temporal fascia, in the contrast group, the approach was above the deep temporal fasica.After operation, observed the clinical effect and complications, and comparative studies were performed.Results At first week after operation, the rate of sub-scalp hematoma in the study group was lower than that in the contrast group, and there was statistical difference between the two groups ( P <0.05 ) .There were no statistical difference between two groups in the rate of pains, numbness and paraesthesia, fascia introcession, incision scar (P>0.05).At 6th month after operation, there was no difference in the effect between the two groups (P>0. 05).But the rate of facial nerve injury in the study group was lower than that in the contrast group (P<0.05). There was no statistical difference in the rate of other complications between the two groups ( P >0.05 ) . Conclusions The approach under the deep temporal fascia from coronal incision is safe and reliable.