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目的分析口腔正畸临床中医疗纠纷产生的原因,为临床防范医疗纠纷提供参考。方法统计近10年临床收治的口腔正畸医疗纠纷病例61名(4例诉讼),分析其产生纠纷的原因。结果引起口腔正畸医疗纠纷的原因主要为治疗方案选择不当26％、医患沟通不够25％、医师临床经验不足16％,医师操作失误5％、医师疏忽7％、病人配合不够8％、疑似精神问题5％、生长发育影响5％、复发3％。结论提高医师的临床水平、加强与病人的沟通是防止口腔正畸医疗纠纷的关键。
Objective To analyze the causes of medical disputes in orthodontic clinic and provide references for clinical prevention of medical disputes. Methods Totally 61 orthodontic medical disputes cases (4 cases) were collected clinically in the recent 10 years, and the causes of the disputes were analyzed. Results The main causes of orthodontic medical disputes were poor choice of treatment plan, 26% inadequate communication between doctor and patient, less than 16% doctor’s clinical experience, 5% doctor’s mistake, 7% doctor’s negligence, 8% 5% mental problems, 5% growth and development, recurrence 3%. Conclusion Improving the clinician’s level and strengthening the communication with the patients are the key to prevent orthodontic medical disputes.