术中CT在颌面部骨折手术治疗中的应用  

The value of intraoperative CT in surgical treatment with maxillofacial fractures

作　　者：马东洋[1] 曹健[1] 庞超远[1] 张文凯[1] 杨阳[1] 满启尚 MA Dong -yang;CAO Jian;PANG Chao-yuan;ZHANG Wen-kai;YANG Yang;MAN Qi-shang(Department of Oral and Mcixillofcieial Surgery, The 940th Hospital of Joint Logistics Support Force of PLA, Lanzhou 730050,Gansu Province, China)

机构地区：[1]联勤保障部队第九四O医院(原兰州军区兰州总医院)口腔颌面外科,甘肃兰州730050

出　　处：《中国口腔颌面外科杂志》2019年第2期141-145,共5页China Journal of Oral and Maxillofacial Surgery

基　　金：全军医学科研"十二五"计划面上项目资助(CWS12J066)

摘　　要：目的:比较应用术中CT与传统方法手术治疗颌骨骨折的效果,探讨术中CT在颌面部复杂骨折手术中的应用价值。方法:回顾分析2016年7月—2018年3月完成手术治疗的87例颌面部骨折患者的临床资料。按照术中是否应用CT分为2组,术中CT组41例,对照组(非术中CT)46例。分析一般资料特点,比较2组病例手术相关指标和术后效果。采用SPSS 22.0软件包对数据进行统计学处理。结果:与对照组相比,术中CT组平均术中修正次数较高(修正率29%),平均复位偏差更小,且获得满意度更高;但2组在患者性别、年龄、骨折类型、接骨板数目、手术时间、住院天数、费用、感染率等方面无显著差异。结论:术中CT辅助下进行的复杂颌面部骨折复位固定术具有较高精确度,与传统手术方法相比,能提高治疗效果。PURPOSE: To investigate the use and value of intraoperative CT(ICT) in maxillofacial trauma surgery.METHODS: Eighty-seven patients with maxillofacial fracture who underwent operation at Lanzhou General Hospital from July 2016 to March 2018 were retrospectively studied. The patients were categorized into 2 groups: ICT group(41 cases)and control group(46 cases). Demographics, fracture distribution, surgical factors, and clinical outcomes were compared using SPASS 22.0 software package. RESULTS: Compared with the control group,patients in ICT group had higher intraoperative revision rate and postoperative satisfaction rate. There was no significant difference in mean age, fracture type, number of plate, operation time, hospital stay, treatment cost, and rate of wound infection between the two groups.Intraoperative revisions rate was 29% with the aid of ICT. COCNLUSIONS: ICT scanning is useful in evaluating intraoperative reduction and fixation, so that a real-time revision decision could be made. It can improve the reduction accuracy and treatment outcome.

关 键 词：术中CT 颌面部骨折 复位固定术 

分 类 号：R782.4[医药卫生—口腔医学]