摘要
目的:探析经皮微创复位术治疗颧骨骨折患者的临床效果。方法:选取2019年1月-2021年12月定西市人民医院接受治疗的110例颧骨骨折患者。根据随机数字表法将其分为对照组(n=55)和观察组(n=55)。对照组给予常规开放复位术治疗,观察组给予经皮微创复位术治疗。比较两组入院当天及术后3个月面部损伤程度、伤侧鼻侧及颞侧运动度、眼球内陷程度及开口度,并发症及临床疗效。结果:术后3个月,观察组颜面畸形、咬合关系、张口受限评分均低于对照组(P<0.05)。术后3个月,观察组伤侧鼻侧运动度、伤侧颞侧运动度及眼球内陷程度均低于对照组,开口度大于对照组(P<0.05)。术后3个月,观察组优良率高于对照组(P<0.05),观察组并发症发生率明显低于对照组(P<0.05)。结论:颧骨骨折患者采取经皮微创复位术能够提高优良率,改善面部损伤程度,符合现代美容微创观念,降低并发症发生率,有着极大的应用价值。
Objective:To explore the clinical effect of minimally invasive percutaneous reduction operation in the treatment of patients with zygomatic fracture.Method:A total of 110 patients with zygomatic fracture who were treated in Dingxi People’s Hospital from January 2019 to December 2021 were selected.They were randomly divided into control group(n=55)and observation group(n=55)according to the random number table method.The control group was given the conventional open reduction operation treatment,and the observation group was given the minimally invasive percutaneous reduction operation treatment.The degree of facial injury,nasal and temporal side range of motion of injured side,degree of enophthalmos and opening on the day of admission and 3 months after operation,complications and clinical efficacy were compared between the two groups.Result:Three months after operation,the scores of facial deformity,occlusal relationship and mouth opening limitation in the observation group were lower than those in the control group(P<0.05).Three months after operation,the nasal side range of motion of injured side,temporal side range of motion of injured side and degree of enophthalmos side in the observation group were lower than those in the control group,and the opening degree was greater than that in the control group(P<0.05).Three months after operation,the excellent and good rate in the observation group was higher than that in the control group(P<0.05),and the incidence of complication in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Minimally invasive percutaneous reduction operation taken for zygomatic fracture patients can improve the excellent and good rate,improve the degree of facial injury,conform to modern cosmetology minimally invasive concept,reduce the incidence of complications,and it has great application value.
作者
杨云
郅晓雷
YANG Yun;ZHI Xiaolei(Dingxi People’s Hospital,Dingxi 743000,China;不详)
出处
《中外医学研究》
2022年第36期46-49,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
2022年度河北省医学科学研究课题计划项目(20221563)。
关键词
颧骨骨折
经皮微创复位术
临床效果
面部损伤程度
并发症
Zygomatic fracture
Minimally invasive percutaneous reduction operation
Clinical effect
Degree of facial injury
Complication
