经皮微创坚固内固定治疗颧上颌骨折的研究  

CLINICAL STUDY OF PERCUTANEOUS MINIMAL INVASION SURGERY FOR RIGID INTERNAL FIXATION IN THE TREATMENT OF COMPLEX FRACTURE OF ZYGOMA-MAXILLARY

作　　者：姜刚勇[1] 

机构地区：[1]山东省济宁市第一人民医院口腔科,272100

出　　处：《中国煤炭工业医学杂志》2014年第12期1911-1915,共5页Chinese Journal of Coal Industry Medicine

基　　金：济宁市科技局(编号:20075070)

摘　　要：目的探讨经皮微创坚固内固定在颧上颌骨折治疗中的效果。方法选择颧上颌骨折患者133例,设经皮微创观察组70例,经典入路对照组63例。分别对二组患者的疗效行对比分析。结果 1周创口延迟愈合观察组3例,对照组9例,创口换药并治疗性应用抗菌药物5d后Ⅱ期愈合,χ2=4.039,P<0.05,差异有统计学意义。6个月后实现开口度>3cm者观察组67例,对照组53例,χ2=5.048,P<0.05,差异有统计学意义。CT扫描显示Ⅱ期骨愈合观察组2例,对照组9例,χ2=5.708,P<0.05,差异有统计学意义。显著瘢痕观察组3例,对照组62例且伴头皮毛发缺损,χ2=117.570,P<0.05,差异有统计学意义。术后需颌间牵引观察组11例,对照组9例,χ2=0.053,P>0.05,差异无统计学意义。结论经皮微创治疗颧上颌骨折具有瘢痕不明显、创口及骨愈合较好、开口功能恢复等优势,且咬合关系恢复理想,是颧上颌骨折的一种理想的治疗方法。Objective To evaluate the clinical value of percutaneous minimal invasion surgery for rigid internal fixation treatment of complex fracture of zygoma-maxillary.Methods A total of 133 patients with complex fracture of zygoma-maxillary between2009 and2013 were randomly divided into the experimental group and the control group,the difference of curing effect between two groups were analyzed.ResultsOne week after treatment,3 of 70 patients with delayed unions of wound were in the experimental group,9of 63 patients in the control group,there was a significant difference between the two groups（χ2=4.039,P〈0.05）.Six months after treatment,67 of 70 patients with the range of opening〉3cm were in the experimental group,while 53 of 63 patients in the control group,there was a significant difference between the two groups（χ2=5.048,P〈0.05）.Based on CT scan,2 of 70 patients with the two period of osseous union were in the experimental group,9 of 63 patients in the control group,there was a significant difference between the two groups（χ2=5.708,P〈0.05）.At the same time,3 of 70 patients with hyperplastic scar were in the experimental group,9 of 63 patients in the control group,there was a significant difference between the two groups（χ2=117.570,P〈0.05）.But on needing of the intermaxillary traction after percutaneous minimal invasion surgery,11 of 70 patients were in the experimental group,9 of 63 patients in the control group,and there was no statistically significant between the two groups（χ2=0.053,P〉0.05）.Conclusion It is the ideal treatment for percutaneous minimal invasion surgery for rigid internal fixation treatment of complex fracture of zygoma- maxillary,which possess the characteristic of inconspicuous scars,ideal healing,the range of opening and ideal occlusion.

关 键 词：微创 经皮 坚固内固定 骨折 颧上颌 

分 类 号：R782.4[医药卫生—口腔医学]