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目的:探讨微型钛板联合颌间牵引钉内固定术治疗颌骨骨折的临床效果及其在临床的安全性。方法:随机选取颌骨骨折患者共60例,将上述患者随机平均分成对照组与观察组。分别给予与单纯微型钛板坚固内固定治疗和微型钛板联合颌间牵引钉内固定术治疗方法。分析比较这两组患者4周内的临床治疗效果及安全性。结果:术后4周两组间临床治疗效果比较显示:采取微型钛板联合颌间牵引钉内固定术治疗的观察组治疗效果明显好于给予单纯微型钛板坚固内固定治疗的对照组。观察组总有效率为87%,对照组总有效率为53.3%,差异有统计学意义(P<0.05).两组手术过程均顺利实施,患者术后均无严重并发症发生,术后恢复情况较好,经比较两组术后不良反应的差异无统计学意义(P>0.05)。结论:微型钛板联合颌间牵引钉内固定术是治疗颌骨多发骨折有效安全方法。
Objective: To investigate the clinical effect and clinical safety of mini titanium plate combined with intermaxillary traction nailing in the treatment of jaw fracture. Methods: A total of 60 patients with jaw fracture were randomly selected. The above patients were randomly divided into control group and observation group. Were treated with a simple micro-titanium plate fixation and micro-titanium plate combined with intermaxillary traction nail treatment. Analysis and comparison of these two groups of patients within 4 weeks of clinical efficacy and safety. Results: The comparison of the curative effect between the two groups after 4 weeks showed that the observation group treated with mini-titanium plate combined with intermaxillary traction nail fixation was significantly better than the control group treated with the simple titanium plate fixation. The total effective rate was 87% in the observation group and 53.3% in the control group, the difference was statistically significant (P <0.05) .Two groups of surgical procedures were successfully implemented, no postoperative complications occurred, postoperative recovery The situation is better, after comparing the adverse reaction between the two groups, the difference was not statistically significant (P> 0.05). Conclusion: Mini-titanium plate combined with intermaxillary traction nail fixation is an effective and safe method for the treatment of multiple fractures of the jaw.