钛板内固定治疗下颌骨骨折临床疗效分析.docVIP

钛板内固定治疗下颌骨骨折临床疗效分析 　　【摘要】 目的：探讨钛板内固定治疗下颌骨骨折的临床疗效。方法：回顾性分析笔者所在医院口腔科2010年1月-2013年1月收治的80例下颌骨骨折患者的临床资料，按照随机数字表法将其分为对照组38例和观察组42例。观察组采取经钛板内固定治疗，对照组采取经颌间结扎治疗，分析并比较两组患者的临床治疗效果。结果：经治疗后3个月～1年的随访发现，观察组42例患者中，有39例骨折获得有效愈合，经X线显示咬合良好，开口度恢复正常，治疗优良率达到92.86%，明显高于对照组的76.32%，比较差异有统计学意义（字2=4.281，P=0.039）。结论：下颌骨骨折患者采用钛板内固定治疗能够有效保证临床治疗效果，帮助患者尽早恢复出院，具有较高的临床应用价值，值得推广。 　　【关键词】 钛板内固定； 下颌骨骨折； 临床疗效 　　中图分类号 R782.4 文献标识码 B 文章编号 1674-6805（2015）11-0017-02 　　【Abstract】 Objective：To investigate the clinical efficacy of titanium plate internal fixation in the treatment of mandibular fractures.Method：The clinical data of 80 patients with mandibular fractures admitted to our hospital from January 2010 to January 2013 were selected as research objects，they were divided into the control group for 38 cases and the observation group for 42 cases according to the random number table method.The observation group adopted by titanium plate internal fixation for treatment，the control group adopted by intermaxillary ligation treatment.The clinical efficacy of the two groups were compared and analyzed.Result：After treatment for 3 months to 1 year follow-up found that，in 42 cases of the observation group，there were 39 cases of fracture of obtaining effective healing，the X-ray showed good occlusion，was back to normal，the excellent and good rate was 92.86%，which was significantly higher than 76.32% of the control group，the difference was statistically significant（字2=4.281，P=0.039）.Conclusion：For patients with mandibular fracture treatment，the titanium plate internal fixation can effectively guarantee the clinical therapeutic effect，help patients left hospital as soon as possible，has high clinical value，is worthy of promotion. 　　【Key words】 Titanium plate internal fixation； Mandibular fracture； Clinical efficacy 　　下颌骨骨折是口腔颌面部所有骨折中最常见的一种，据有关数据表明，现阶段下颌骨骨折的发生率大概在50%～70%，并且随着人们生活方式的改变，因交通事故、意外伤害等因素造成的下颌骨骨折有逐年明显增加的趋势，严重影响到患者的身体健康及生活质量[1-2]。在当前，临床治疗下颌骨骨折多是采用钛板内固定的方式进行，不但操作较为方便、安全，固定效果好，而且还可实现微创，临床治疗效果令人满意[3]。为此，本研