中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
13期
58-59
,共2页
颌骨骨折%坚固内固定%颌间固定%临床疗效
頜骨骨摺%堅固內固定%頜間固定%臨床療效
합골골절%견고내고정%합간고정%림상료효
Jaw fracture%Rigid internal fixation%Intermaxillary fixation%clinical effect
目的：探讨坚固内固定技术在口腔颌面外科中的临床疗效。方法随机选取该院收治的颌骨骨折患者120例，根据随机对照原则均分为两组，观察组60例行坚固内固定技术治疗，对照组60例行常规的颌间固定技术治疗，比较两组患者的临床治疗效果。结果观察组患者接受治疗的时间(1.0±0.5)周，明显小于对照组的(2.5±1.0)周，对比两组差异有统计学意义(P<0.05)；治疗后观察组患者的口臭发生率为2(3.3%)，显著优于对照组患者的8(13.3%)，比较两组差异有统计学意义(P<0.05)；观察组患者术后咬合关系紊乱发生率1(1.7%)，显著低于对照组的6(10.0%)，对比两组差异有统计学意义(P<0.05)。结论坚固内固定技术相比较于常规的颌间固定技术治疗颌骨骨折具有较好的临床效果，具有操作简便、创伤小、骨折复位准确、口腔功能恢复快等临床优点，能尽早改善病人的临床症状，疗效确切，是目前治疗下颌骨骨折较好的临床选择。
目的：探討堅固內固定技術在口腔頜麵外科中的臨床療效。方法隨機選取該院收治的頜骨骨摺患者120例，根據隨機對照原則均分為兩組，觀察組60例行堅固內固定技術治療，對照組60例行常規的頜間固定技術治療，比較兩組患者的臨床治療效果。結果觀察組患者接受治療的時間(1.0±0.5)週，明顯小于對照組的(2.5±1.0)週，對比兩組差異有統計學意義(P<0.05)；治療後觀察組患者的口臭髮生率為2(3.3%)，顯著優于對照組患者的8(13.3%)，比較兩組差異有統計學意義(P<0.05)；觀察組患者術後咬閤關繫紊亂髮生率1(1.7%)，顯著低于對照組的6(10.0%)，對比兩組差異有統計學意義(P<0.05)。結論堅固內固定技術相比較于常規的頜間固定技術治療頜骨骨摺具有較好的臨床效果，具有操作簡便、創傷小、骨摺複位準確、口腔功能恢複快等臨床優點，能儘早改善病人的臨床癥狀，療效確切，是目前治療下頜骨骨摺較好的臨床選擇。
목적：탐토견고내고정기술재구강합면외과중적림상료효。방법수궤선취해원수치적합골골절환자120례，근거수궤대조원칙균분위량조，관찰조60례행견고내고정기술치료，대조조60례행상규적합간고정기술치료，비교량조환자적림상치료효과。결과관찰조환자접수치료적시간(1.0±0.5)주，명현소우대조조적(2.5±1.0)주，대비량조차이유통계학의의(P<0.05)；치료후관찰조환자적구취발생솔위2(3.3%)，현저우우대조조환자적8(13.3%)，비교량조차이유통계학의의(P<0.05)；관찰조환자술후교합관계문란발생솔1(1.7%)，현저저우대조조적6(10.0%)，대비량조차이유통계학의의(P<0.05)。결론견고내고정기술상비교우상규적합간고정기술치료합골골절구유교호적림상효과，구유조작간편、창상소、골절복위준학、구강공능회복쾌등림상우점，능진조개선병인적림상증상，료효학절，시목전치료하합골골절교호적림상선택。
Objective This paper explores the clinical effects of rigid internal fixation in oral and maxillofacial surgery. Methods 120 patients suffering from jaw fracture in our hospital have been picked and they were equally divided into two groups according to randomized and controlled principle. 60 patients in random group accepted the treatment of rigid internal fixation and 60 pa-tients in control group accepted general treatment of intermaxillary fixation. The clinical effects of two groups have been compared. Results Treatment time of control group was (1.0±0.5) per week and is significantly less than that of random group which was (2.5±1.0) per week. Difference between two groups is of statistic significance (P<0.05); incidence of bad breath after treatment in random group was 2 (3.3%) which was remarkably less than that in control group, which was 8 (13.3%). Difference between two groups is of statistic significance (P<0.05). Conclusion Rigid internal fixation has better clinical effects than general intermaxillary fixation. Characterized by easy operation, little trauma, accurate fixation of fractures, and fast recovery of oral functions, which can improve patient's clinical symptoms with curative effect, rigid internal fixation is a better clinical choice to cure mandibular frac-ture at present.
