摘要
目的 探讨改良耳颞-结膜-口内联合切口及骨折切开复位内固定术在眼眶-上颌-颧骨复合体骨折（OMZ骨折）中的应用效果及安全性.方法 选取汾阳医院2012年5月至2017年3月收治的OMZ骨折患者78例,根据随机数字表法分为对照组（n=39）与研究组（n=39）.对照组采取冠状-睑下缘-口内上前庭沟切口实施骨折切开复位内固定,研究组采取改良耳颞-结膜-口内联合切口实施骨折切开复位内固定.统计两组手术情况、骨折复位效果、切口瘢痕评分及并发症发生率.结果 研究组切口长度、手术时间短于对照组,术中失血量少于对照组（P〈0.05）;研究组骨折复位优良率（92.31％）与对照组（87.18％）比较差异未见统计学意义（P〉0.05）;研究组切口瘢痕隐蔽程度、宽度、隆起程度高于对照组（P〈0.05）;研究组并发症发生率（7.69％）低于对照组（25.64％）,P〈0.05.结论 采取改良耳颞-结膜-口内联合切口及骨折切开复位内固定术治疗眼眶-上颌-颧骨复合体骨折,骨折复位效果较好,且可减少手术创伤,术后瘢痕隐蔽程度、宽度及隆起程度较好,并发症发生率较低.
Objective To investigate the application effect and safety of modified preauricular and temporal-conjunctiva-intraoral incision approach combined with open reduction and internal fixation on orbital-maxillary-zygomatic （OMZ） complex fractures.Methods Seventy-eight patients with OMZ complex fracture treated in Fenyang Hospital from May 2012 to March 2017 were selected and divided into control group （39 cases） and study group （39 cases） according to random number table method .Patients in control group were treated by open reduction and internal fixation of fracture through the coronal-margo infraorbitalis-oral inter incision.Patients in study group were treated by the internal fixation of fracture open reduction by modified preauricular and temporal-conjunctiva-intraoral incision.The operation conditions, the effect of fracture reduction, the score of incision scar and the incidence of complications of two groups were counted . Results The length of incision and the time of operation in study group were shorter than those in control group, and the amount of intraoperative blood loss in study group was less than that in control group （P〈0.05）.The excellent rate of fracture reduction in study group （92.31%） was not significantly different from that in control group （87.18%）, P〉0.05.In study group, the concealment degree of scar , incision scar width and scar protruding degree were higher than those in control group （ P〈0.05 ） .The incidence of complications in study group （ 7.69%） was significantly lower than that in control group （ 25.64%）, P〈0.05.Conclusions Modified preauricular and temporal-conjunctiva-intraoral incision and open internal fixation in the treatment of patients with OMZ complex fractures has better reduction effect .And it can reduce the surgical trauma , by which the concealment degree of scar , the width and the extent of the protruding are better, and the incidence of complications is low .
作者
尹刚
Yin Gang(Department of Stomatology,Fenyang Hospital,Fenyang 032200,China)
出处
《中国实用医刊》
2018年第19期53-56,共4页
Chinese Journal of Practical Medicine
