《口腔颌面外科杂志》

• 临床总结 • 上一篇    下一篇

可吸收接骨板与微型钛板在下颌骨骨折中临床应用效果评价

赵志强1,   多力昆·吾甫尔2   

  1. 1. 山西省长治市中医医院口腔科,山西   长治   046000; 2. 新疆维吾尔自治区人民医院口腔颌面外科,新疆   乌鲁木齐   830001
  • 出版日期:2017-12-28 发布日期:2019-04-10
  • 通讯作者: 多力昆·吾甫尔,教授. E-mail: dolkun410@aliyun.com
  • 作者简介:赵志强(1989—),男,山西人,硕士. E-mail: 2466531812@qq.com

Evaluation of Treating Mandibular Fracture with Mini Titanium Plate Materials and Absorbable in Clinical Application

ZHAO Zhi-qiang1, Duolikun·Wufuer2
  

  1. 1. Traditional Chinese Medicine Hospital of Changzhi City, Changzhi 046000, Shanxi Province; 2. Department of Oral and Maxillofacial Surgery, People’s Hospital of Xinjiang Uyghur Autonomous Region, Urumqi 830001, Xinjiang Uyghur Autonomous Region, China
  • Online:2017-12-28 Published:2019-04-10

摘要:

目的:探讨临床上可吸收接骨板和微型钛板在下颌骨骨折中的应用。方法:收集2014-05—2016-09就诊于新疆自治区人民医院的下颌骨骨折患者195例,其中可吸收接骨板组(研究组)95例,微型钛板组(对照组)100例,观察两组术后患者功能恢复、并发症及患者满意度。结果:两组患者在性别、年龄、骨折类型方面差异均无统计学意义(P>0.05)。术后1月,在咀嚼效率方面,对照组优于研究组,差异有统计学意义(P<0.05);术后3月,两组咀嚼效率比较,差异均无统计学意义(P>0.05)。在张口度上,术后1、3、6月,对照组好于研究组,但两组张口度均未达37 mm,术后1年,两组张口度基本达到37 mm。两组术后并发症方面,研究组和对照组发生率分别为12.6%和26.0%,对照组高于研究组。术后1年,两组患者在生活和工作满意度及与人交往方面,两组差异均无统计学意义(P>0.05)。在心里健康方面,研究组优于对照组,差异有统计学意义(P<0.05)。结论:在下颌骨骨折内固定术中,可吸收材料固定系统可作为治疗下颌骨骨折的良好选择,降低术后并发症,同时提高患者的术后满意度。

关键词: 下颌骨骨折, 钛板, 可吸收材料, 满意度

Abstract:

Objectives: We compared absorbable plates with titanium plates for treatment of mandibular fractures. Methods: From May 2014 to September 2016, 195 cases of mandibular fractures in the People's Hospital of Xinjiang Uyghur Autonomous Regionour were collected, patients with mandibular fractures were divided into two groups. 95 patients were included in the experimental group, the control group consisted of 100 patients. The control group received titanium plates while the experimental group received absorbable plates. The two groups of the postoperative functional recovery, complications and satisfaction were observed. Results: The outcome showed that the two groups were matched in age, sex ratio, fracture type, no statistically significant difference was noted(P>0.05). After 1 month of treatment, the control group was better than the experimental group in the masticatory efficiency, the difference was statistically significant (P<0.05). After 3 months, the two groups showed no statistically significant differences in masticatory efficiency(P>0.05); in the degree of mouth, after 1 month, 3 months, 6 months, the control  group was better than the experimental group, but the two groups of opening degree did not reach 37 mm. After 1 year, two groups of recovery was almost reached 37 mm. The two groups of postoperative complications, the experimental group and the control group the incidence rate were 12.6% and 26% respectively, the experimental group was higher than the control group. After 1 year, two groups in communication with others, the difference between the two groups had no statistical significance (P>0.05), in terms of mental health, the experimental group was better than the control group, the difference was statistically significant (P<0.05). Conclusion: Our experience suggests that resorbable devices should be considered as a treatment option, which reduces the postoperative complications and increases patient's quality of life.

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