摘要
目的分析研究微型钛板坚固内固定联合颌间牵引治疗颌骨骨折的临床效果。方法选择2014年1月至2015年6月收治的66例颌骨骨折患者作为研究对象，随机分为观察组与对照组，每组33例。对照组采用传统牙弓夹板颌间结扎术，观察组采用微型钛板坚固内固定联合颌间牵引术，对比观察两组患者治疗效果及治疗前后GI、DI及PI评分变化情况和不良反应发生率。结果观察组总有效率为96．97％，对照组为78．79％，组间比较差异有统计学意义（P〈0．05）；两组治疗前GI、DI及PI评分比较差异未见统计学意义（P〉0．05），经治疗，观察组各项指标评分均明显低于对照组，差异有统计学意义（P〈0．05）；观察组不良反应发生率为6．06％，对照组为27．27％，组间比较差异有统计学意义（P〈0．05）。结论采用微型钛板坚固内固定联合领间牵引治疗颌骨骨折患者疗效显著，可有效改善患者软垢及菌斑等症状，提高治疗效果，且不良反应发生率低，具有一定安全性。
Objective To analyze and study the clinical effect of mini titanium plate rigid internal fixation combined with intermaxillary traction in the treatment of jaw fracture. Methods Sixty-six patients with jaw fracture from January 2014 to June 2015 were randomly divided into observation group and control group, with 33 cases in each group. The control group were used the traditional dental arch splint intermaxiilary ligation, the observation group were treated by mini titanium platte rigid internal fixa- tion combined with intermaxillary traction. The changes of GI, DI and PI scores and adverse reaction rate were compared between the two groups before and after treatment. Results In the observation group, the total effective rate was 96. 97%, the control group was 78.79%, there was significant difference be- tween the groups （P 〈 0. 05 ）. Before treatment, GI, DI and PI scores between the two groups showed no significant difference （P 〉 0. 05 ）. After the treatment, the scores of observation group were significantly lower than those of control group, the differences were statistically significant （P 〈 0. 05 ）. The incidence of adverse reactions was 6. 06% in observation group and 27.27% in control group, there was significant difference between the groups （P 〈 0. 05）. Conclusions The mini titanium plate rigid internal fixation and intermaxillary traction in the treatment of jaw fracture patients has significant curative effect; it can effectively improve the debris, plaque and other symptoms, improving the therapeutic effect, the adverse reactions occurred rate is low, with a certain safety.
出处
《中国实用医刊》
2016年第23期46-48,共3页
Chinese Journal of Practical Medicine
关键词
微型钛板坚固内固定
颌间牵引
颌骨骨折
Mini titanium plate rigid internal fixation
Intermaxillary traction
Jaw fracture
