切开复位内固定术治疗颌面骨骨折患者的效果  

Effects of open reduction and internal fixation on patients with maxillofacial fractures

作　　者：曹兴军 CAO Xingjun(Department of Stomatology of Jinzhou Central Hospital,Jinzhou 121000 Liaoning,China)

机构地区：[1]锦州市中心医院口腔科,辽宁锦州121000

出　　处：《中国民康医学》2020年第24期15-16,19,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察切开复位内固定术治疗颌面骨骨折患者的效果。方法:选取71例颌面骨骨折患者作为研究对象,依据交替分组法分为对照组(35例,采取颌间固定术治疗)和观察组(36例,采取切开复位内固定术治疗)。对比两组治疗持续时间、术后颞颌关节功能严重影响率、术后并发症发生率(张口偏斜、咬合错乱、口臭、关节症状、面神经损伤)和治疗效果。结果:观察组治疗持续时间为(2.11±0.58)周,明显短于对照组的(3.74±0.74)周,差异有统计学意义(P=0.000)。观察组颞颌关节功能严重影响率明显低于对照组,差异有统计学意义(P=0.043)。观察组张口偏斜、咬合错乱、口臭、关节症状和面神经损伤等并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组治疗优良率为94.44%(34/36),高于对照组的71.43%(25/35),差异有统计学意义(P<0.05)。结论:切开复位内固定术治疗颌面骨骨折患者可提高治疗优良率,缩短治疗持续时间,以及降低颞颌关节功能严重影响率和术后并发症发生率的效果优于颌间固定术治疗效果。Objective:To explore effects of open reduction and internal fixation on patients with maxillofacial fractures.Methods:71 patients with maxillofacial bone fractures were selected as the research objects,and were divided into control group(35 cases,treated with intermaxillary fixation)and observation group(36 cases,treated with open reduction and internal fixation)according to the alternating grouping method.The treatment duration,postoperative temporomandibular joint function severe impact rate,postoperative complication rate(opening deviation,occlusal disturbance,bad breath,joint symptoms,and facial nerve injury)and treatment effects were compared between the two groups.Results:The treatment duration in the observation group was(2.11±0.58)weeks,which was significantly shorter than the control group of(3.74±0.74)weeks,and the difference was statistically significant(P=0.000).The postoperative temporomandibular joint function severe impact rate in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P=0.043).The incidence rates of complications such as opening deviation,occlusal disturbance,bad breath,joint symptoms,and facial nerve injury in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The excellent and good rate of treatment in the observation group was 94.44%(34/36),which was higher than 71.43%(25/35)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Open reduction and internal fixation in the treatment of maxillofacial bone fractures can improve the excellent and good rate of treatment,shorten the treatment duration,and reduce the postoperative temporomandibular joint function severe impact rate and postoperative complication rate.Moreover,it is superior to intermaxillary fixation.

关 键 词：切开复位内固定 颌面骨骨折 颞颌关节功能 并发症 治疗优良率 

分 类 号：R782[医药卫生—口腔医学]