冠状切口不同入路治疗颧骨复合体骨折的临床研究  

Clinical study on treating zygoma complex fracture through different approach from scalp coronal incision

作　　者：梁非照[1] 雷荣昌[1] 马文涛[1] 

机构地区：[1]柳州市人民医院,广西545000

出　　处：《齐齐哈尔医学院学报》2015年第23期3482-3484,共3页Journal of Qiqihar Medical University

基　　金：广西卫生厅自筹课题(Z2007296)

摘　　要：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。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 introeession, 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.

关 键 词：冠状切口 头皮 并发症 颧骨骨折 骨折固定 

分 类 号：R782.4[医药卫生—口腔医学]