颌间牵引钉联合微型钛板内固定修复颌骨骨折患者41例的疗效及近期随访研究

发布时间：2018-06-28 02:29

本文选题：颌间牵引钉 + 微型钛板内固定　；参考：《中国地方病防治杂志》2016年12期

【摘要】：目的探究颌间牵引钉联合微型钛板内固定修复颌骨骨折患者疗效。方法选取石河子大学医学院第一附院2013年6月~2015年5月收治的82例颌骨骨折患者,依据治疗方法不同分为对照组与研究组,各41例。对照组实施微型钛板内固定治疗,研究组实施颌间牵引钉与微型钛板内固定联合治疗。术后随访半年,统计两组手术用时、临床疗效、骨折愈合时间、不良反应情况,并对比两组治疗前后牙周情况相关指标[菌斑指数(PI)、软垢指数(DI)、牙龈指数(GI)]评分情况。结果两组手术用时比较,差异无统计学意义(P0.05);与对照组相比,研究组骨折愈合时间较短,差异有统计学意义(P0.05);两组治疗优良率相比,研究组97.56%(40/41)远高于对照组80.49%(33/41),差异有统计学意义(P0.05);治疗前,两组PI、DI、GI差异无统计学意义(P0.05);治疗后,与对照组相比,研究组PI、DI、GI均较低,差异有统计学意义(P0.05);两组不良反应发生率差异无统计学意义(P0.05)。结论颌间牵引钉与微型钛板内固定联合应用于颌骨骨折治疗中,可有效提高治疗性优良率,显著缩短骨折愈合时间,且对牙周组织影响较小,安全性较高。
[Abstract]:Objective to investigate the effect of intermaxillary traction nail combined with mini-titanium plate internal fixation in the repair of jaw fracture. Methods from June 2013 to May 2015, 82 patients with jaw fracture were selected from the first affiliated Hospital of Shihezi University Medical College. According to different treatment methods, 82 patients were divided into control group and study group, 41 cases in each group. The control group was treated with micro titanium plate fixation and the study group was treated with intermaxillary traction nail and micro titanium plate fixation. The clinical efficacy, fracture healing time and adverse reaction were analyzed. The periodontal indexes (plaque index (Pi), scaling index (DI), gingival index (GI) were compared before and after treatment. Results there was no significant difference in operative time between the two groups (P0.05); compared with the control group, the fracture healing time in the study group was shorter and the difference was statistically significant (P0.05); the excellent and good rate of treatment in the two groups was higher than that in the control group (P0.05). The study group (97.56%) (40 / 41) was significantly higher than the control group (80.49% (33 / 41), the difference was statistically significant (P0.05), before treatment, there was no significant difference between the two groups (P0.05). The difference was statistically significant (P0.05), and there was no significant difference in the incidence of adverse reactions between the two groups (P0.05). Conclusion the combined use of intermaxillary traction nail and mini-titanium plate fixation in the treatment of maxillary fracture can effectively improve the excellent and good rate of treatment, shorten the healing time of fracture, and have little effect on periodontal tissue and high safety.
【作者单位】：石河子大学医学院口腔系;河北省衡水市冀州区区医院口腔科;石河子大学医学院第一附院口腔科;
【基金】：新疆维吾尔自治区自然科学基金(2012211A069)
【分类号】：R782.4

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