中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2014, Vol. 12 ›› Issue (6): 535-538.

• 临床研究 • 上一篇    下一篇

微创下实施内固定治疗颧骨骨折的疗效及安全性

丁帆   

  1. 绍兴市上虞人民医院 口腔科,浙江绍兴 312300
  • 收稿日期:2014-06-09 出版日期:2014-11-10 发布日期:2015-01-01
  • 通讯作者: 丁帆,E-mail:ddding65@163.com
  • 作者简介:丁帆（1965-）,女,学士,副主任医师

Efficacy and safety of minimally invasive internal fixation of zygomatic fractures

DING Fan   

  1. Department of Stomatology, Shaoxing Shangyu People’s Hospital. Shaoxing 312300, Zhejiang Province, China
  • Received:2014-06-09 Online:2014-11-10 Published:2015-01-01

RichHTML

1

被引次数

6

摘要： 目的 探讨经口内微创入路实施内固定治疗颧骨骨折的临床疗效及安全性。方法 选取2005年6月—2013年6月收治的71例颧骨骨折患者,随机分为实验组和对照组。实验组采用经口内径路切开复位及微型钛板内固定术,对照组采用经冠状切口切开、明视下骨折复位及微型钛板内固定术。比较2组患者术前及术后3个月的伤侧鼻侧、颞侧运动度、开口度和眼球内陷程度,比较2组患者术后6个月的临床疗效及术后并发症发生率。采用SPSS18.0软件包对数据进行统计学分析。结果 2组患者术后3个月的伤侧鼻侧、颞侧运动度均显著低于术前（P<0.01）;实验组术后3个月的伤侧鼻侧、颞侧运动度均显著低于对照组（P<0.01）。2组患者术后3个月的开口度显著大于术前,眼球内陷程度显著小于术前（P均<0.01）;实验组术后3个月的开口度显著大于对照组,眼球内陷程度显著小于对照组（P均<0.01）。实验组术后半年的临床疗效显著高于对照组（P<0.05）。实验组的术后并发症发生率显著低于对照组（P<0.05）。结论 经口内微创实施内固定治疗颧骨骨折创伤较小,同时手术疗效佳,术后并发症发生率低,值得临床推广应用。

关键词: 颧骨骨折, 微创, 内固定术, 冠状切口

Abstract: PURPOSE : To investigate the efficacy and safety of minimally invasive internal fixation of zygomatic fractures. METHODS : Seventy-one cases of zygomatic fractures in our hospital from June 2005 to June 2013 were randomly divided into experimental and control groups. The experimental group underwent open reduction and internal micro-titanium fixation via oral route, while the control group had micro-titanium plate fixation under direct vision via the coronal incision. The nasal, temporal movement on the injured side after 3 months, the mouth opening and the degree of enophthalmos in the 2 groups before and after surgery were compared. The clinical efficacy and incidence of postoperative complications in 2 groups of patients after 6 months were compared. The data was statistically analyzed using SPSS 18.0 software package. RESULTS : The degree of temporal and nasal movement at the injured side 3 months after surgery were significantly lower than those before surgery (P<0.01). The degree of temporal and nasal movement at the injured side 3 months after surgery in the experimental group were significantly lower than control group (P<0.01). The degree of enophthalmos 3 months after surgery was significantly greater than before surgery, while the degree of retraction was significantly less than that before surgery (P<0.01). The degree of mouth opening in the experimental group 3 months after surgery was significantly greater than that in the control group, the degree of enophthalmos was significantly less than the control group (P<0.01). The clinical efficacy of the experimental group was significantly higher than the control group 6 months after surgery (P<0.05). Incidence of postoperative complications in the experimental group was significantly lower than the control group (P<0.05). CONCLUSIONS : Minimally invasive internal fixation of the zygomatic fractures via oral route has minor trauma, good clinical efficacy and lower postoperative complication rate, which is worthy of clinical application.

Key words: Zygomatic fracture, Minimally invasive surgery, Internal fixation, Coronal incision

中图分类号: