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目的分析颌骨骨折患者采用颌间牵引钉联合小型或微型钛板内固定修复的临床效果。方法选取医院收治的颌骨骨折患者40例为研究对象,随机分为观察组和对照组,每组20例。观察组采用颌间牵引钉联合小型或微型钛板内固定修复术,对照组采用微型钛板内固定修复术,比较2组患者治疗效果以及不良反应发生情况。结果观察组优良率为85.0%,高于对照组的55.0%(P<0.05);2组患者术后伤口全部愈合拆线,并无感染。对照组有1例钛钉移位,2组比较差异无统计学意义(P>0.05)。结论颌骨骨折患者采用颌间牵引钉联合小型或微型钛板内固定修复术治疗的效果理想,安全、有效,值得临床推广应用。
Objective To analyze the clinical effect of intermaxillary traction nail combined with miniature or miniature titanium plate fixation in patients with jaw fracture. Methods Forty patients with mandibular fractures treated in our hospital were selected as study subjects and randomly divided into observation group and control group with 20 cases in each group. The observation group was treated with intermaxillary traction nail combined with small or mini titanium plate internal fixation and the control group with mini titanium plate internal fixation. The treatment effect and adverse reactions in the two groups were compared. Results The excellent and good rate in the observation group was 85.0%, which was higher than that in the control group (55.0%, P <0.05). All the wounds in the two groups were healed and sutured without infection. One case of titanium nail displacement in the control group, no significant difference between the two groups (P> 0.05). Conclusion The treatment of maxillofacial fractures by means of intermaxillary traction nail combined with miniature or mini-titanium internal fixation and repair is ideal, safe and effective and worthy of clinical application.