改良耳颞-结膜-口内联合切口治疗眼眶-上颌-颧骨、颧弓复合体骨折

发布时间：2018-04-26 15:08

本文选题：眼眶-上颌-颧骨 + 颧弓复合体骨折　；参考：《口腔医学研究》2016年05期

【摘要】：目的:探讨对眼眶-上颌-颧骨、颧弓复合体骨折采用改良耳颞-结膜-口内联合切口,行骨折切开复位内固定术。方法:170例患者分为两组:对照组(88例)采用常规冠状-睑下缘-口内联合切口,实验组(82例)采用改良耳颞-结膜-口内联合切口,均行骨折切开复位内固定术。比较两组患者的手术时间、术中出血量、切口长度、术后切口肿胀及瘢痕程度、术后局部积液、面神经及眶下神经功能、耳颞区感觉功能、泪道损伤发生率、下眼睑外翻及颞部凹陷的发生率、骨折复位的效果、患者满意度,综合评价治疗效果。结果:两组患者手术时间、术中出血量、切口平均长度、术后切口肿胀及瘢痕程度、术后局部积液、面神经功能障碍、耳颞区感觉障碍、泪道损伤发生率、下眼睑外翻及面颞部凹陷的发生率、患者满意度比较具有显著性差异(P0.05)。两组患者眶下神经功能、骨折复位的效果比较无显著性差异。结论:改良耳颞-结膜-口内联合切口具有切口隐蔽,损伤小,并发症少等优点,值得在临床上进一步推广应用。
[Abstract]:Objective: to study the modified temporal-conjunctival-intraoral incision for the fracture of orbital maxillary zygomatic and zygomatic complex and open reduction and internal fixation of fracture. Methods 170 patients were divided into two groups: the control group (n = 88) was treated with conventional coronal-blepharo-intraoral incision (n = 82) and the experimental group (n = 82) was treated with modified temporal-conjunctival intraoral incision, all of which were treated with open reduction and internal fixation of fracture. The operative time, intraoperative bleeding, incision length, postoperative wound swelling and scar degree, postoperative local effusion, facial nerve and suborbital nerve function, auditory and temporal sensory function, lacrimal duct injury were compared between the two groups. The incidence of lower eyelid valgus and temporal depression, the effect of fracture reduction, patient satisfaction, comprehensive evaluation of treatment results. Results: the operation time, intraoperative bleeding volume, average incision length, postoperative wound swelling and scar degree, postoperative local effusion, facial nerve dysfunction, aural and temporal sensory disorders, lacrimal duct injury rate were observed in the two groups. The incidence of lower eyelid valgus and facial and temporal depression was significantly different from that of patient satisfaction (P 0.05). There was no significant difference in suborbital nerve function and reduction of fracture between the two groups. Conclusion: the modified temporal-conjunctivo-intraoral incision has the advantages of concealment, less injury and less complications, which is worthy of further clinical application.
【作者单位】：新疆医科大学第一附属医院颌面肿瘤外科;
【基金】：2012年国家自然科学基金(地区科学基金)(项目号:31260229)
【分类号】：R782.4

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