牵引复位固定术联合坚固内固定术治疗口腔颌面部创伤性骨折患者的效果  

Effects of traction reduction and fixation combined with rigid internal fixation in treatment of patients with traumatic fractures of oral and maxillofacial region

作　　者：李顺海 李阳 LI Shunhai;LI Yang(Mengyin County People’s Hospital,Medical Cosmetology Department,Linyi 276299 Shandong,China;Mengyin County People’s Hospital,Anesthesiology Department,Linyi 276299 Shandong,China)

机构地区：[1]蒙阴县人民医院医疗美容科,山东临沂276299 [2]蒙阴县人民医院麻醉科,山东临沂276299

出　　处：《中国民康医学》2024年第8期54-57,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察牵引复位固定术联合坚固内固定术治疗口腔颌面部创伤性骨折患者的效果。方法:选取2019年1月至2023年1月该院收治的80例口腔颌面部创伤性骨折患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各40例。对照组采用坚固内固定术治疗,观察组在对照组基础上联合牵引复位固定术治疗,两组术后均随访3个月。比较两组恢复优良率、围术期指标(手术时间、术中出血量、骨折愈合时间、住院时间、张口度)水平、术后口腔功能指标(张口受限率、颞颌关节良好率、颌面结构复原良好率、咬合良好率)水平,以及并发症发生率。结果:观察组恢复优良率为97.50%(39/40),高于对照组的80.00%(32/40),差异有统计学意义(P<0.05);观察组手术时间长于对照组,骨折愈合时间、住院时间均短于对照组,张口度大于对照组,差异有统计学意义(P<0.05);两组术中出血量比较,差异无统计学意义(P>0.05);观察组张口受限率低于对照组,颞颌关节良好率、颌面结构复原良好率、咬合良好率均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为12.50%(5/40),低于对照组的32.50%(13/40),差异有统计学意义(P<0.05)。结论:牵引复位固定术联合坚固内固定术治疗口腔颌面部创伤性骨折患者可提高恢复优良率,缩短骨折愈合时间和住院时间,改善术后口腔功能指标水平,降低并发症发生率,效果优于单纯坚固内固定术治疗,但会延长手术时间。Objective:To observe effects of traction reduction and fixation combined with rigid internal fixation in treatment of patients with traumatic fractures of oral and maxillofacial region.Methods:A prospective study was conducted on 80 patients with traumatic fractures of oral and maxillofacial region admitted to this hospital from January 2019 to January 2023.According to the random number table method,they were divided into control group and observation group,40 cases in each group.The control group was treated with rigid internal fixation,while the observation group was treated with traction reduction and fixation on the basis of that of the control group.Both groups were followed up for 3 months.The excellent and good rate of recovery,the perioperative indexes(operation time,intraoperative blood loss,fracture healing time,hospitalization time,mouth opening degree)levels,the postoperative oral function indexes(mouth opening limitation rate,good rate of temporomandibular joint,good rate of maxillofacial structure recovery,good rate of occlusion)levels,and the incidence of complications were compared between the two groups.Results:The excellent and good rate of recovery in the observation group was 97.50%(39/40),which was higher than 80.00%(32/40)in the control group,and the difference was statistically significant(P<0.05).The operation time in the observation group was longer than that in the control group,the fracture healing time and the hospitalization time were shorter than those in the control group,the mouth opening degree was greater than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the intraoperative blood loss between the two groups(P>0.05).The mouth opening limitation rate in the observation group was lower than that in the control group,the good rate of temporomandibular joint,the good rate of maxillofacial structure recovery and the good rate of occlusion were higher than those in the control group,and the differences were sta

关 键 词：口腔颌面部创伤性骨折 坚固内固定术 牵引复位固定术 恢复优良率 口腔功能 并发症 

分 类 号：R782.4[医药卫生—口腔医学]