颌间牵引在下颌骨粉碎性骨折治疗中的作用观察与研究
发布时间：2018-10-09 11:32
【摘要】：研究目的： 探讨及研究下颌骨粉碎性骨折坚强内固定术后，颌间牵引对咬合关系的影响。 研究对象： 选取山西医科大学第一医院口腔颌面外科自2011年9月至2013年12月收治的68例下颌骨粉碎性骨折患者，男性37例，女性31例。患者年龄18~56岁，平均年龄38.6±6.7岁。 研究方法： 对68例下颌骨粉碎性骨折患者行坚强内固定治疗后，其中40例患者能很好的遵医嘱，，根据患者咬合关系恢复情况，橡皮圈颌间牵引1~2周，即A组；28例由于自身原因，未能遵医嘱行颌间牵引治疗，即B组。选取术后两个观察点，分别对两组患者的疗效比较分析。 研究结果： 在本研究两个观察点A组患者咬合关系的恢复均明显好于B组患者，且两组疗效结果，经统计学分析后，有统计学意义（P＜0.05）。 研究结论： 适当的颌间牵引使得下颌骨粉碎性骨折患者手术治疗后咬合关系得以进一步矫正，从而提高下颌骨粉碎性骨折治疗的质量。而许多下颌骨粉碎性骨折患者治疗后咬合关系出现紊乱，主要是由于没有有效的颌间牵引，微小范围的错颌未能矫正，这一步骤的缺失很可能造成患者永久的咬合紊乱。
[Abstract]:Objective: to investigate the effect of intermaxillary traction on occlusion after rigid internal fixation of comminuted mandibular fractures. Participants: Sixty-eight patients with comminuted mandibular fractures, 37 males and 31 females, were treated in oral and maxillofacial surgery of the first Hospital of Shanxi Medical University from September 2011 to December 2013. The average age of the patients was 38.6 卤6.7 years. Methods: 68 patients with comminuted mandibular fractures were treated with rigid internal fixation, 40 of them were able to follow the doctor's instructions. According to the recovery of the occlusion relationship of the patients, the rubber band intermaxillary traction was done for 1 week, that is, group A; 28 cases were not treated with intermaxillary traction according to the doctor's instructions, I. E. group B, for their own reasons. Two observation points were selected to compare and analyze the curative effect of the two groups. Results: the recovery of occlusal relationship in group A was significantly better than that in group B in the two observation points in this study, and the curative effect of two groups was statistically significant after statistical analysis (P < 0.05). Conclusion: proper intermaxillary traction can further correct the occlusal relationship in patients with comminuted mandibular fractures and improve the quality of treatment of comminuted mandibular fractures. However, many patients with comminuted mandibular fracture have disorder of occlusal relationship after treatment, mainly due to the absence of effective intermaxillary traction and the failure of minor malocclusion. The absence of this step may lead to permanent occlusal disorder.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R782.4
本文编号：2259187
[Abstract]:Objective: to investigate the effect of intermaxillary traction on occlusion after rigid internal fixation of comminuted mandibular fractures. Participants: Sixty-eight patients with comminuted mandibular fractures, 37 males and 31 females, were treated in oral and maxillofacial surgery of the first Hospital of Shanxi Medical University from September 2011 to December 2013. The average age of the patients was 38.6 卤6.7 years. Methods: 68 patients with comminuted mandibular fractures were treated with rigid internal fixation, 40 of them were able to follow the doctor's instructions. According to the recovery of the occlusion relationship of the patients, the rubber band intermaxillary traction was done for 1 week, that is, group A; 28 cases were not treated with intermaxillary traction according to the doctor's instructions, I. E. group B, for their own reasons. Two observation points were selected to compare and analyze the curative effect of the two groups. Results: the recovery of occlusal relationship in group A was significantly better than that in group B in the two observation points in this study, and the curative effect of two groups was statistically significant after statistical analysis (P < 0.05). Conclusion: proper intermaxillary traction can further correct the occlusal relationship in patients with comminuted mandibular fractures and improve the quality of treatment of comminuted mandibular fractures. However, many patients with comminuted mandibular fracture have disorder of occlusal relationship after treatment, mainly due to the absence of effective intermaxillary traction and the failure of minor malocclusion. The absence of this step may lead to permanent occlusal disorder.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R782.4
【参考文献】
相关期刊论文 前7条
1 廖镇;张纲;李鹏飞;李登远;;2种治疗方法对下颌骨粉碎性骨折术后咬合关系影响的对比研究[J];重庆医学;2010年13期
2 杨国海;李金源;刘江;李冉;;颌面部骨折的治疗进展[J];河北联合大学学报(医学版);2012年04期
3 黄田河;刘继华;;应用正畸保持器片牙弓夹板治疗颌骨骨折的疗效评价[J];上海口腔医学;2007年04期
4 张益,章魁华;颌骨骨折坚强内固定[J];中华口腔医学杂志;2001年03期
5 顾晓明;;颌面部骨折内固定的新理念[J];中华口腔医学杂志;2007年02期
6 郭哲;徐冰;杨鸣良;卢利;;颌面部骨折580例回顾性分析[J];中国实用口腔科杂志;2008年09期
7 曲昌锋;陆平;周晓南;赵延峰;;自身增强聚乳酸接骨板在颌骨骨折中的临床应用体会[J];中国实用口腔科杂志;2009年11期
本文编号：2259187
本文链接：https://www.wllwen.com/yixuelunwen/kouq/2259187.html
最近更新
教材专著
