口内切口联合穿颊器微创治疗下颌角及升支骨折  

Intraoral Incision Combined with Transbuccal Instrument in Minimally Invasive Treatment of Mandibular Angle and Lengthening Fractures

作　　者：黎江 梁基洪 冯婷 

机构地区：[1]阳江市人民医院口腔科,广东阳江529500

出　　处：《临床医学工程》2017年第12期1661-1662,共2页Clinical Medicine & Engineering

摘　　要：目的评价口内切口联合穿颊器微创治疗下颌角及升支骨折的效果。方法选取下颌角及升支骨折患者102例,随机分为两组各51例。对照组患者采用传统口外入路手术进行治疗,观察组采用口内小切口联合穿颊器手术进行治疗。结果观察组的Ⅰ期愈合率、延迟愈合率均显著优于对照组(P<0.05)。术后半年,观察组的总有效率显著高于对照组,面颈部瘢痕、张口受限、腮腺涎漏、面神经损伤发生率均显著低于对照组,差异有统计学意义(P<0.05)。结论口内小切口联合穿颊器治疗下颌角及升支骨折患者具有创伤小、恢复快、并发症发生率低的优点,具有积极的临床意义。Objective To evaluate the effect of intraoral incision combined with transbuccal instrument in minimally invasive treatment of mandibular angle and lengthening fractures. Methods 102 cases of patients with mandibular angle and lengthening fractures were selected and randomly divided into two groups, with 51 cases in each group. The control group received surgery with traditional extraoral approach, while the observation group received surgery through small intraoral incision and transbuccal instrument. Results The phase I healing rate and delayed healing rate of observation group were significantly better than those of control group （P 〈0.05）. 6 months after surgery, the total effective rate of observation group was significantly higher than that of control group, and the incidences of faciocervical scar, limitation of mouth opening, parotid leakage and facial nerve injury were significantly lower than those of control group （P 〈0.05）. Conclusions Small intraoral incision combined with transbuccal instrument in minimally invasive treatment of mandibular angle and lengthening fractures has the advantages of small trauma, quick recovery and low complication rate, which has positive clinical significance.

关 键 词：口内小切口 穿颊器 口外入路 下颌角骨折 升支骨折 

分 类 号：R782.4[医药卫生—口腔医学]