植入式钛钉颌间牵引联合微型钛板内固定在颌骨骨折治疗中的作用

Implantable titanium nail traction between the jaw joint micro titanium plate internal fixation in treating jaw fracture

目的研究植入式钛钉颌间牵引联合微型钛板内固定对于颌骨骨折的治疗效果。方法将本院2012年11月至2013年11月收治的136例颌骨骨折患者作为研究对象,随机均分为观察组与对照组。对照组患者采用传统颌间牵引术-牙弓夹板治疗;观察组患者采用植入式钛钉颌间牵引联合微型钛板内固定治疗。比较两组患者治疗情况。结果观察组与对照组患者手术时间近似,无明显差异(P>0.05),但观察组患者骨折愈合时间为(1.98±0.76)个月,明显少于对照组患者[(3.62±1.25)个月],差异具有极其显著性(P<0.01);两组患者治疗前咀嚼功能、开口功能及颌面部情况无明显差异(P>0.05),手术后两组患者上述指标均有不同程度的改变,观察组各项功能的改善均明显优于对照组,差异具有极其显著性(P<0.01);观察组患者术后优良率为92.65%;对照组患者术后优良率为80.88%,差异具有显著性(P<0.05)。结论植入式钛钉颌间牵引联合微型钛板内固定对于颌骨骨折的疗效好,治愈率高,与传统手术方式相比,患者的咀嚼功能、开口功能恢复快,颌面部对称,无畸形,具有一定的临床应用价值。

Objective To study the implantable titanium nail traction between the jaw joint micro titanium plate internal fixation for the treatment of jaw fracture effect. Method From November 2012 to November 2012 treated 136 cases of jaw fracture patients as the research object, randomly divided into observation group and control group. Between the control group with the traditional jaw traction-dental arch splints;observation group with implantable titanium nail traction between the jaw joint micro titanium plate internal ifxation method. Compare two groups of treatment. Result Observation group and control group, no signiifcant difference （P〉0.05）, but the observation group of fracture healing time was （1.98±0.76） months, signiifcantly faster than the control group （3.62±1.25） months, and signiifcant difference, statistically signiifcant （P0.05）, after the operation, both of the above indexes had varying degrees of change, various functions to improve observation group were signiifcantly better than the control group, and signiifcant difference, statistically signiifcant （P〈0.01）;postoperative observation group, ifne rate was 92.65%;compared to control group was 80.88%, postoperative both statistically signiifcant difference （P 〈 0.05）. Conclusion Implantable titanium nail traction between the jaw joint micro titanium plate internal ifxation for jaw fractures of good curative effect, high cure rate, compared with the traditional operation method, the patient＇s chewing function, opening function recover quickly, facial symmetry, no deformity, has a certain clinical value.