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目的:探究坚固内固定技术对颌骨骨折的治疗运用,为颌骨骨折的治疗方法选择提供理论指导。方法:选取我科自2009年4月~2012年7月收治的80例下颌骨骨折患者行手术切开复位、小型和微型钛板坚固内固定术治疗,纳入内固定组,并选取同期80例行颌间固定的颌骨骨折患者,纳入颌间固定组,对比两组患者治疗效果。结果:两组患者术后3个月张口度及张口型均得到明显改善,内固定组改善程度较颌间固定组更为显著(P<0.05);内固定组治疗周数、口臭及咬合错乱发生率均低于颌间固定组(P<0.05);内固定组疗效评价优43例,良26例,有效率86.3%,颌间固定组分别为31例和17例,有效率60.0%,内固定组治疗效果显著优于颌间固定组(P<0.05)。结论:坚固内固定技术具有组织相容性高、口功能恢复快、不良反应发生率低等优势,是治疗颌骨骨折的安全、可靠、简便的治疗方案,能够有效保证患者的预后和生活质量,值得临床普遍应用。
Objective: To explore the application of rigid internal fixation for the treatment of jaw fractures and to provide theoretical guidance for the treatment of jaw fractures. Methods: Eighty patients with mandibular fracture who were treated in our department from April 2009 to July 2012 were treated with open reduction, mini-and micro titanium plate fixation, and included in the internal fixation group. Eighty patients Patients with mandibular fracture who underwent intermaxillary fixation were included in the intermaxillary fixation group, and the treatment effect was compared between the two groups. Results: The mouth opening and mouth opening of the two groups were significantly improved at 3 months after operation, and the improvement in the internal fixation group was more significant than that in the intermaxillary fixation group (P <0.05). The number of weeks, bad breath and occlusion (P <0.05). The curative effect evaluation of internal fixation group was excellent in 43 cases, good in 26 cases, effective rate was 86.3%, in intermaxillary fixation group were 31 cases and in 17 cases, the effective rate was 60.0% The internal fixation group was significantly better than the intermaxillary fixation group (P <0.05). Conclusion: The solid internal fixation technique has the advantages of high histocompatibility, quick recovery of oral function and low incidence of adverse reactions. It is a safe, reliable and simple treatment for the treatment of jaw fracture and can effectively guarantee the prognosis and quality of life , It is worthy of clinical application.