口腔颌面创伤骨折的治疗效果分析(1)
摘要：目的 探讨口腔颌面创伤骨折的治疗效果。方法 选择2013年1月～2016年3月我院收治的100例口腔颌面创伤骨折患者作为研究对象，将其随机分为治疗组(n=50)和对照组(n=50)，对照组患者实施闭合复位固定术，治疗组患者实施切开复位内固定术，对两组患者的临床治疗效果进行比较和分析。结果 两组患者愈合时间比较，治疗组<6 w愈合人数(29例)明显优于对照组(21例)(P<0.05)，且治疗组愈合失败人数(2例)明显低于对照组(8例)(P<0.05)；两组患者治疗效果比较，治疗组治疗有效率为96%(48例)，对照组治疗有效率为84%(42例)，治疗组有效率明显高于对照组(P<0.05)。结论 对口腔颌面创伤骨折患者实施切开复位内固定术进行治疗，不仅能够提高治疗效果，也能降低不良反应的发生率，值得临床广泛应用与推广。
关键词：口腔颌面；创伤骨折；治疗效果
Analysis of Therapeutic Effect of Oral and Maxillofacial Trauma Fracture
, 百拇医药
LV Ying
(Department of Stomatology，Huanghua People's Hospital，Cangzhou 061100，Hebei，China)
Abstract：Objective To investigate the oral and maxillofacial trauma fractures.Methods From January 2013～2016 year in March in our hospital 100 cases of oral and maxillofacial trauma patients as the research object，which were randomly divided into treatment group(n=50)and control group(n=50)，patients in the control group were treated with closed reduction and fixation，and the patients in the treatment group were treated with open reduction and internal fixation，the clinical therapeutic effect of two groups of patients were compared and analyzed.Results Two groups of patients with healing time，treatment group was less than 6 w the number of healing(29 cases)was significantly better than the control group(21 cases)(P<0.05)，and the treatment group failed to heal people(2 cases)was significantly lower than the control group(8 cases)(P<0.05)；compare the efficacy of two groups，the treatment group effective rate of treatment was 96%(48 cases)，the control group's effective rate was 84%(42 cases)，the treatment group was significantly higher than that of the control group(P<0.05).Conclusion Oral and maxillofacial trauma fractures were treated with open reduction and internal fixation surgery treatment，not only can improve the therapeutic effect，can reduce the incidence of adverse reactions，it is worthy of clinical application and promotion.
, 百拇医药
Key words：Oral and maxillofacial；Trauma fracture；Treatment effect
口腔頜面创伤骨折属于临床常见骨折类型，近年来，人们生活方式与生活节奏有一定的变化，故而口腔颌面创伤骨折的发生率也有所提高。口腔颌面是指头颅与颈部间的一个部位，此部位血管较为丰富，故而在骨折受伤之后患者伤口会快速愈合，为临床治疗带来一定的困难[1]。除此之外，在发生创伤骨折之后，患者很容易将骨折碎片吸入气管，继而发生呼吸困难现象，部分患者可能会出现窒息情况，对于患者的生命健康有着严重的影响，另外因口腔颌面创伤骨折会使患者颌面部位发生肿胀情况，若没有及时进行治疗，那么就有可能导致患者面部永久畸形[2]。本研究选择我院50例口腔颌面创伤骨折患者作为研究对象，对治疗组患者实施切开复位内固定术进行治疗，效果显著，现报道如下。
1资料与方法
1.1一般资料 将2013年1月～2016年3月我院收治的100例口腔颌面创伤骨折作为研究对象，随机分为治疗组与对照组，每组50例，治疗组男性患者30例，女性患者20例，年龄5～73岁，平均年龄(42.08±5.16)岁；对照组男性患者34例，女性患者16例，年龄5～70岁，平均年龄(40.80±5.24)岁。两组患者均根据《口腔颌面外科》[3]相关诊断标准被诊断为口腔颌面创伤骨折，其中上颌骨骨折患者共39例、下颌骨骨折患者共24例、颧骨骨折患者共12例、颧弓骨折患者共25例；车祸所致患者共33例、跌伤所致患者共24例、砸击伤所致患者共13例、高空坠落所致患者共15例、爆炸伤所致患者共5例、其他损伤所致患者共10例。两组患者一般资料比较差异不明显(P>0.05)，具有可比性。, http://www.100md.com(吕瑛)
关键词：口腔颌面；创伤骨折；治疗效果
Analysis of Therapeutic Effect of Oral and Maxillofacial Trauma Fracture
, 百拇医药
LV Ying
(Department of Stomatology，Huanghua People's Hospital，Cangzhou 061100，Hebei，China)
Abstract：Objective To investigate the oral and maxillofacial trauma fractures.Methods From January 2013～2016 year in March in our hospital 100 cases of oral and maxillofacial trauma patients as the research object，which were randomly divided into treatment group(n=50)and control group(n=50)，patients in the control group were treated with closed reduction and fixation，and the patients in the treatment group were treated with open reduction and internal fixation，the clinical therapeutic effect of two groups of patients were compared and analyzed.Results Two groups of patients with healing time，treatment group was less than 6 w the number of healing(29 cases)was significantly better than the control group(21 cases)(P<0.05)，and the treatment group failed to heal people(2 cases)was significantly lower than the control group(8 cases)(P<0.05)；compare the efficacy of two groups，the treatment group effective rate of treatment was 96%(48 cases)，the control group's effective rate was 84%(42 cases)，the treatment group was significantly higher than that of the control group(P<0.05).Conclusion Oral and maxillofacial trauma fractures were treated with open reduction and internal fixation surgery treatment，not only can improve the therapeutic effect，can reduce the incidence of adverse reactions，it is worthy of clinical application and promotion.
, 百拇医药
Key words：Oral and maxillofacial；Trauma fracture；Treatment effect
口腔頜面创伤骨折属于临床常见骨折类型，近年来，人们生活方式与生活节奏有一定的变化，故而口腔颌面创伤骨折的发生率也有所提高。口腔颌面是指头颅与颈部间的一个部位，此部位血管较为丰富，故而在骨折受伤之后患者伤口会快速愈合，为临床治疗带来一定的困难[1]。除此之外，在发生创伤骨折之后，患者很容易将骨折碎片吸入气管，继而发生呼吸困难现象，部分患者可能会出现窒息情况，对于患者的生命健康有着严重的影响，另外因口腔颌面创伤骨折会使患者颌面部位发生肿胀情况，若没有及时进行治疗，那么就有可能导致患者面部永久畸形[2]。本研究选择我院50例口腔颌面创伤骨折患者作为研究对象，对治疗组患者实施切开复位内固定术进行治疗，效果显著，现报道如下。
1资料与方法
1.1一般资料 将2013年1月～2016年3月我院收治的100例口腔颌面创伤骨折作为研究对象，随机分为治疗组与对照组，每组50例，治疗组男性患者30例，女性患者20例，年龄5～73岁，平均年龄(42.08±5.16)岁；对照组男性患者34例，女性患者16例，年龄5～70岁，平均年龄(40.80±5.24)岁。两组患者均根据《口腔颌面外科》[3]相关诊断标准被诊断为口腔颌面创伤骨折，其中上颌骨骨折患者共39例、下颌骨骨折患者共24例、颧骨骨折患者共12例、颧弓骨折患者共25例；车祸所致患者共33例、跌伤所致患者共24例、砸击伤所致患者共13例、高空坠落所致患者共15例、爆炸伤所致患者共5例、其他损伤所致患者共10例。两组患者一般资料比较差异不明显(P>0.05)，具有可比性。, http://www.100md.com(吕瑛)
参见：首页 > 医疗版 > 疾病专题 > 骨科 > 骨折