微型钛板内固定与颌间结扎牵引治疗下颌骨骨折的临床效果  

Clinical Effect of Miniature Titanium Plate Internal Fixation and Intermaxillary Ligature Traction in the Treatment of Mandibular Fractures

作　　者：巩传芬 GONG Chuanfen(Department of Stomatology,Feixian People's Hospital,Linyi,Shandong Province,273400 China)

机构地区：[1]费县人民医院口腔科,山东临沂273400

出　　处：《世界复合医学》2024年第1期55-58,共4页World Journal of Complex Medicine

摘　　要：目的探讨微型钛板内固定与颌间结扎牵引治疗下颌骨骨折的临床效果。方法随机选择2018年8月—2023年8月费县人民医院口腔科收治的80例下颌骨折患者为研究对象,以随机数表法分组,对照组(n=40)以颌间结扎牵引治疗,观察组(n=40)以微型钛板内固定。比较两组治疗优良率,分析面部功能及牙周指标,并比较并发症风险。结果观察组优良率为95.00%,高于对照组的77.50%,差异有统计学意义(χ^(2)=5.165,P<0.05)。治疗后,观察组各项面部功能评分低于对照组,差异有统计学意义(P均<0.05)。观察组菌斑、软垢、牙龈指数均低于对照组,差异有统计学意义(P均<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论对下颌骨骨折以微型钛板内固定治疗优良率高于颌间结扎牵引治疗,有利于改善面部功能、牙周指标,可降低并发症发生风险。Objective To explore the clinical effect of miniature titanium plate internal fixation and inter⁃maxillary ligation traction in the treatment of mandibular fracture.Methods Eighty mandibular fracture pa⁃tients admitted to the Feixian People's Hospital from August 2018 to August 2023 were randomly selected as the study objects and grouped by random number table method.The control group(n=40)was treated with inter⁃maxillary ligature traction,and the observation group(n=40)was treated with internal fixation with miniature ti⁃tanium plates,comparing the treatment excellence rate of the two groups,analyzing the facial function and peri⁃odontal indexes,and comparing the risk of complications.Results The excellent and good rate of the observa⁃tion group was 95.00%,which was higher than that of the control group(77.50%),the difference was statisti⁃cally significant(χ^(2)=5.165,P<0.05).After treatment,the facial function scores of the observation group were lower than those of the control group,and the differences were statistically significant(all P<0.05).The plaque,soft scale and gingival indexes in the observation group were lower than those in the control group,and the dif⁃ferences were statistically significant(all P<0.05).The incidence of complications in the observation group was lower than that of control group,the difference was statistically significant(P<0.05).Conclusion The excellent rate of miniature titanium plate internal fixation treatment for mandibular fractures was higher than that of inter⁃maxillary ligation traction treatment,which is conducive to the improvement of facial function and periodontal index,and can reduce the risk of complications.

关 键 词：微型钛板 颌间结扎牵引 下颌骨折 面部功能 牙周指数 并发症 

分 类 号：R782.4[医药卫生—口腔医学]