方丝弓和钛板治疗下颌骨临床效果及心理接受程度对比研究.docVIP

方丝弓和钛板治疗下颌骨临床效果及心理接受程度对比研究 　　[摘要]目的：探讨方丝弓治疗小儿下颌骨骨折与钛板内固定治疗的临床效果及患儿心理接受程度。方法：选择40例患者使用方丝弓治疗，并与40例使用钛板内固定治疗的患者比较，两组术后张口度变化，并统计患者对面部形态的满意分数及治疗的临床效果。结果：两组担心术后口腔异物感的问题上差异无统计学意义（P0.05），观察组担心术后影响面容和手术费用问题上均低于对照组（P0.05），张口度大于对照组（P0.05），观察组术后优良率高于对照组（P0.05），出院时患者对面部形态满意，分数高于对照组（P0.05）。结论：方丝弓治疗小儿下颌骨骨折可较快恢复患儿的咀嚼功能，不影响面部容貌，临床效果可靠，更有利于患儿及家属的心理接受。 　　[关键词]方丝弓；钛板；下颌骨；效果；心理 　　[中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455（2013）01-0185-03 　　The treatment of standard edgewise and titanium plate for mandibular fracture with clinical effect and psychological acceptance 　　FAN Yu-min 　　（Xushui Peoples Hospital，Baoding 072550，Hebei，China） 　　Abstract： Objective To investigate the treatment of standard edgewise and titanium plate for mandibular fracture with clinical effect and psychological acceptance. Methods 40 cases used standard edgewise and 40 cases used titanium plate internal fixation，compared the two groups with mouth opening and statisticed the facial morphology satisfaction scores and clinical effect. Results The two groups with worry about postoperative oral foreign body sensation on the question had no difference（P0.05）， the observation group of concerns about postoperative effect of face and operation costs were lower than control group（P0.05）， the excellent and good rate was higher than control group（P0.05），the degree of mouth opening was greater than control group（P0.05），facial morphology satisfaction scores was higher than control group（P0.05）. Conclusions Standard edgewise treatment for pediatric mandibular fractures may be faster recovery with masticatory function and do not affect the facial appearance，so its clinical effect is reliable， it is conducive to children and their families to accept. 　　Key words：standard edgewise；titanium plate；mandible；effect；psychological 　　下颌骨是人体面部最大、最突出的骨，也是最容易出现骨折的头面部骨骼。对于下颌骨的骨折，以往大多采用切开复位钛板内固定术，其虽能达到坚固内固定效果[1]，但对于多发性、粉碎性下颌骨骨折，因其骨折部分的轻微旋转及骨折部位的骨缺失等引起对合效果不理想，横、纵合曲线的改变，导致咬合功能障碍[2]。虽说大多数患者此种功能障碍临床表现较轻微，但患者需要忍受长期的咬合不良的痛苦，甚至极个别患者需要进行再次手术治疗。本研