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两种内固定方法治疗下颌骨骨折的比较性研究
引用本文:彭勇,李伯友,林继光,洪煜锐,陈垂史.两种内固定方法治疗下颌骨骨折的比较性研究[J].现代预防医学,2005,32(6):692-693.
作者姓名:彭勇  李伯友  林继光  洪煜锐  陈垂史
作者单位:深圳市龙岗中心医院口腔科,深圳,518116
摘    要:目的:对小钛板坚强内固定及钢丝结扎内固定治疗下颌骨骨折的效果进行分析和比较。方法:36例下颌骨骨折行小钛板坚强内固定及钢丝结扎内固定治疗。术后追踪随访两个月,记录术后咬合关系,复查全景片,测定咀嚼效能,并进行统计学分析。结果:两组不同内固定方法的治疗效果差异无显著性,术后咬合关系不良并发症的发生率相同,但小钛板坚强内固定组咀嚼效能明显高于钢丝结扎内固定组。结论:小钛板坚强内固定组在早期张口活动、恢复咀嚼功能,术后不留有皮肤瘢痕方面优于钢丝结扎内固定组,是目前治疗下颌骨骨折的首选方法。

关 键 词:小钛板  钢丝  内固定  下颌骨骨折
文章编号:1003-8507(2005)06-0692-02

COMPARATIVE STUDY OF RIGID INTERNAL FIXATION AND WIRE FIXATION IN THE TREATMENT OF MANDIBULAR FRACTURE
PENG yong.LI Bo-you,LIN Ji-guang,et al..COMPARATIVE STUDY OF RIGID INTERNAL FIXATION AND WIRE FIXATION IN THE TREATMENT OF MANDIBULAR FRACTURE[J].Modern Preventive Medicine,2005,32(6):692-693.
Authors:PENG yongLI Bo-you  LIN Ji-guang  
Institution:PENG yong.LI Bo-you,LIN Ji-guang,et al.Stomatology Departoment of Longgang Central Hospitol,Shenzhen,518116.
Abstract:Objective:To compare the clinical outcomes of open treatment of mandibular fracture using titanium miniplates or wires.Methods:Open reduction and internal fixation was performed for mandibular fracture in 26 patients using miniplates, and in 10 patients using wires. In the follow-up time of 2 months, the occlusion, masticatory ability and radiologic evalutions were documented.Results:The results from the two different internal fixation methods were nonsignificant, but the masticatory ability in the group of the rigid internal fixation was higher than in the group of the wire fixation(P<0.01).Conclusion:Miniplates osteosynthesis was more advantageous than wire fixation in the treatment of mandibular fracture.
Keywords:Titanium miniplate  Wire  Internal fixation  Mandibular fracture
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