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目的:探究口内切口入路与常规下颌下入路手术治疗下颌角及升支骨折的临床疗效。方法:选择2015年1月至2016年6月我院收治的下颌角、升支骨折患者68例,根据治疗方式不同分为两组,每组各34例。观察组实施口内切口入路手术,对照组实施常规下颌下入路手术治疗。对比两组并发症发生率和临床疗效。结果:与对照组相比,观察组治疗有效率更优,差异有统计学意义(P<0.05);观察组张口受限、面颈部瘢痕、面神经损伤、腮腺涎漏等并发症发生率与对照组相比更低,差异有统计学意义(P<0.05)。结论:对下颌角及升支骨折患者实施口内切口入路治疗效果较常规下颌下入路手术更优,能降低并发症发生率,提高临床疗效。
Objective: To investigate the clinical effects of intra-oral incision and conventional submandibular approach in the treatment of mandibular angle and ascending branch fractures. Methods: From January 2015 to June 2016, 68 cases of mandibular angle and ascending branch fracture admitted to our hospital were divided into two groups according to different treatment methods, 34 cases in each group. The observation group underwent intra-oral incision and the control group underwent conventional submandibular approach. The complication rates and clinical effects were compared between the two groups. Results: Compared with the control group, the treatment group was more effective and the difference was statistically significant (P <0.05). The incidence of complications such as mouth restriction, facial and neck scar, facial nerve injury and parotid gland leakage in the observation group was significantly correlated with Compared with the control group, the difference was statistically significant (P <0.05). Conclusion: The treatment of mandibular angle and ascending branch fracture patients with intra-oral incision is more effective than conventional submandibular approach, which can reduce the incidence of complications and improve the clinical efficacy.