影响下颌角骨折术后恢复的相关因素分析

发布时间：2017-12-26 23:27

本文关键词：影响下颌角骨折术后恢复的相关因素分析　出处：《中国美容医学》2016年03期 　论文类型：期刊论文

【摘要】：目的:探讨影响下颌角骨折术后恢复的相关因素。方法:收集2007年1月至2015年6月因下颌角骨折就诊于新疆医科大学第一附属医院颌面外科行手术治疗的患者资料,按术后的恢复情况分为愈合良好、愈合欠佳两组。并对可能影响下颌角骨折术后愈合的相关因素进行单因素及多因素Logistic回归分析。结果:单因素分析结果显示:第三磨牙的处理、颌间牵引、吸烟和固定物数量是影响下颌角骨折术后愈合的因素,多因素回归分析得出:吸烟(OR=5.660 95%CI:1.182~27.106)、固定物数量(OR=0.189 95%CI:0.044~0.816)与下颌角骨折术后恢复密切相关。结论:两块固定物即张力带联合下颌下缘固定有利于下颌角骨折术后愈合,吸烟是影响下颌角骨折愈合的危险因素,医护人员应尽早了解相关因素,并采取有效措施促进下颌角骨折的愈合。
[Abstract]:Objective: To explore the related factors affecting the postoperative recovery of mandibular angle fracture. Methods: from January 2007 to June 2015, the data of surgical treatment for maxillofacial surgery in the First Affiliated Hospital of Xinjiang Medical University from mandibular angle fracture were divided into two groups: good healing and poor healing according to postoperative recovery. Single factor and multiple factor Logistic regression analysis were carried out on the related factors that may affect the healing of mandibular angle fracture after operation. Results: the results of univariate analysis showed that treatment, the maxillary third molar between the traction, the number of smoking and healing of fracture influence factors is fixation of mandibular angle, multi factor regression analysis showed that smoking (OR=5.660 95%CI:1.182~27.106), the number of fixation (OR=0.189 95%CI: 0.044~0.816) is closely related with the postoperative recovery after mandibular fracture. Conclusion: two fixtures, namely tension band combined with submandibular fixation, are favorable for postoperative healing of mandibular angle fracture. Smoking is a risk factor affecting fracture healing. Medical staff should understand related factors as early as possible, and take effective measures to promote healing of mandibular angle fractures.
【作者单位】：新疆医科大学第一附属医院颌面部创伤正颌外科;
【基金】：新疆医科大学第一附属医院自然科学基金青年项目(2013ZRQN40) 新疆维吾尔自治区重点实验开放课题(XJDX1103-2013-05) 新疆维吾尔自治区自然科学基金青年项目(2014211C082)
【分类号】：R782.4
【正文快照】： 下颌角骨折指发生于咬肌附着前后之间的三角形区域内的骨折,下颌角位于下颌支、下颌体的转折处,骨质较薄弱,加之阻生第三磨牙或未萌出的恒牙胚,使此区骨高度不足,受到创伤时容易发生骨折[1]。颌骨主要通过骨内主应力轨迹抵抗传递功能负载,骨折会使骨连续性破坏并导致主应力轨

【相似文献】