单纯微型钛板坚固内固定与联合颌间牵引钉治疗颌骨骨折的效果观察

Effect of single micro titanium plate rigid internal fixation combined with intermaxillary traction in treatment of jaw fracture

目的探讨单纯微型钛板坚固内固定与联合颌间牵引钉治疗颌骨骨折的效果。方法选取2015年7月至2017年6月颌骨骨折患者94例,按抽签法分为对照组与观察组,每组47例。对照组采用单纯微型钛板坚固内固定治疗,观察组采用颌间牵引钉联合微型钛板坚固内固定治疗,比较两组临床疗效、牙周相关指标[软垢指数(DI)、菌斑指数(PI)、牙龈指数(GI)]、生活质量评分及不良反应发生率。结果观察组治疗总有效率(95.74%)较对照组(80.85%)高,差异有统计学意义(P<0.05);手术后6个月,观察组DI(1.24±0.18)分、PI(0.89±0.14)分、GI(1.25±0.27)分均较对照组[(1.54±0.20)分、(1.33±0.15)分、(1.60±0.26)分]低,心理(19.36±2.01)分、躯体(20.01±2.13)分、环境(19.03±2.17)分、社会(20.36±2.02)分,均较对照组[(15.68±2.74)分、(15.77±2.14)分、(14.95±2.30)分、(16.03±1.96)分]高,差异有统计学意义(P<0.05);两组不良反应发生情况比较,差异未见统计学意义(P>0.05)。结论颌间牵引钉联合微型钛板坚固内固定治疗颌骨骨折效果显著,利于减轻对牙周组织的影响,改善患者生活质量,且不良反应少,安全性较高。

Objective To investigate the effect of single micro titanium plate rigid internal fixation combined with intermaxillary traction on periodontium and living quality in patients with jaw fracture.Methods Ninety-four patients with jaw fracture admitted to our hospital from July 2015 to June 2017 were selected.According to the method of drawing lots,they were divided into control group and observation group,with 47 cases in each group.The control group was treated with rigid internal fixation with mini-titanium plate.The clinical efficacy,periodontal index(DI),plaque index(PI),gingival index(GI),quality of life score and incidence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group(95.74%)was higher than that of the control group(80.85%,P<0.05).Six months after operation,DI(1.24±0.18),PI(0.89±0.14)and GI(1.25±0.27)in the observation group were lower than those in the control group[(1.54±0.20),(1.33±0.15),(1.60±0.26)].Psychological(19.36±2.01),physical(20.01±2.13),environmental(19.03±2.17)and social(20.36±2.02)scores were higher than those of the control group[(15.68±2.74),(15.77±2.14),(14.95±2.30),(16.03±1.96)],the difference was significant(P<0.05).There was no significant difference in the occurrence of adverse reactions between the two groups(P>0.05).Conclusions The effect of intermaxillary traction nail combined with titanium miniplate on jaw fracture is remarkable.It is beneficial to alleviate the influence of periodontal tissue and improve the quality of life of patients.It has less adverse reactions and higher safety.