微型钛夹板坚固内固定治疗颌面部骨折的疗效观察  

Observation of the effect of miniature titanium plate internal fixation in the treatment of maxillofacial fractures

作　　者：刘春临[1] Liu Chunlin(Department of Stomatology,the People＇s Hospital of Linfen,Linfen,Shanxi 041000,China)

机构地区：[1]临汾市人民医院口腔科,山西省临汾041000

出　　处：《中国基层医药》2018年第15期1972-1975,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨微型钛夹板坚固内固定治疗颌面部骨折的疗效.方法 将2014年9月至2017年9月临汾市人民医院110 例颌面部骨折患者纳入研究,采用回顾性分析,将微型钛夹板坚固内固定患者（60例）作为观察组,将采用骨间钢丝结扎固定的患者（50例）作为对照组.对比两组疗效、恢复情况、并发症发生情况.结果 观察组总有效率为96.67%,高于对照组的80.00%（χ2＝14.13,P＝0.000）;观察组张口度较对照组高[（39.85 ±2.70）mm比（37.52 ±2.54）mm,t＝4.63,P＝0.000],颞颌关节功能正常率（98.33%）较对照组（82.00%）高（χ2＝14.15,P＝0.000）,骨折稳定性良好率（91.62%）较对照组（80.00%）高（χ2＝5.95,P＝0.014）;观察组髁状突3个月、1年移动距离均较对照组大（t＝31.25、6.73,均P＝0.000）;观察组不良反应发生率（3.33%）较对照组（16.00%）低（χ2＝9.78,P＝0.001）.结论 微型钛夹板坚固内固定治疗颌面部骨折具有稳定性好、对位准确等特点,能促进骨折愈合,恢复正常解剖结构和咬合能力,并发症较少.Objective To explore the effect of miniature titanium plate internal fixation in the treatment of maxillofacial fractures.Methods From September 2014 to September 2017,a total of 110 patients with maxillofacial fractures in the People＇s Hospital of Linfen were enrolled in this study.A retrospective analysis was taken ,60 patients with rigid internal fixation with titanic microsplint were selected as observation group ,50 patients with bone fixed wire ligation were selected as control group.The efficacy,recovery and complications of the two groups were compared and analyzed.Results The total effective rate of the observation group was 96.67%,which was significantly higher than 80.00%of the control group（χ2＝14.13,P＝0.000）.The mouth opening degree of the observation group was higher than that of the control group [（39.85 ±2.70）mm vs.（37.52 ±2.54）mm,t＝4.63,P＝0.000].The function of the temporomandibular joint normal rate of the observation group was 98.33%, which was significantly higher than 82.00%of the control group（χ2＝14.15,P＝0.000）.The good rate of fracture stability of the observation group was 91.62%,which was higher than 80.00%of the control group（χ2＝5.95,P＝0.014）.The condyle moving distance for 3 months and 1 year in the observation group were significantly larger than those in the control group （t＝31.25, 6.73,all P ＝0.000）.The incidence rate of adverse reactions of the observation group was 3.33%, which was significantly lower than 16.00%of the control group（χ2＝9.78,P＝0.001）.Conclusion Miniature titanium plate internal fixation for maxillofacial fracture has advantages of good stability and accurate alignment .It can promote fracture healing,resume normal anatomical structure and occlusion ability ,and has less complications.

关 键 词：颌骨折 面部 骨折固定术 内 骨固定钢丝 

分 类 号：R782.4[医药卫生—口腔医学]